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Ischemia and infarction of kidney

by Alike Medical Team ∙ Updated on June 13, 2023

Additional names

This group contains additional names: - Renal infarction

General

An infarction of the kidney occurs when the normal blood supply is interrupted. As most cases are caused by atherosclerosis and thromboembolism, most patients are older, regardless of the underlying cause.

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Signs & symptoms

A small renal infarct is often asymptomatic, and only evidence of its previous occurrence is detected on imaging at a later stage. When larger, patients typically present with acute flank pain and may have hematuria and proteinuria (blood and protein in urine).

Diagnosis

The first investigation of choice is usually a CT scan. If the clinical presentation is unclear, ultrasound may be performed.

Treatment

If the infarction is segmental, only supportive management is needed, and the cause of the infarction should be investigated. An attempt to revascularize the kidney can be made if the renal artery is completely blocked.

Note

☝ We provide information on prescription and over-the-counter medicines, diagnosis, procedures and lab tests. This material is provided for educational purposes only and is not medical advice, diagnosis or treatment.

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