Abstract
Background A 53-year-old man presented to hospital 2 hours after the abrupt onset of left upper abdominal pain. He was treated with analgesics and discharged after 4 hours of observation, but presented to another hospital 2 hours later with severe left abdominal pain. His past medical history included ischemic dilated cardiomyopathy due to recurrent myocardial infarction.
Investigations Physical examination, electrocardiography, laboratory investigations, contrast-enhanced computed tomography, and transesophageal echocardiography.
Diagnosis Renal artery thromboembolism resulting from dilated cardiomyopathy, severely reduced cardiac function and an intracardiac thrombus.
Management Anticoagulation with unfractionated heparin followed by enoxaparin and warfarin.
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Nasser, N., Abadi, S. & Azzam, Z. Acute renal infarction from a cardiac thrombus. Nat Rev Nephrol 3, 631–635 (2007). https://doi.org/10.1038/ncpneph0624
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DOI: https://doi.org/10.1038/ncpneph0624
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