| A Case of Renal Infarct Developed in Acute Pancreatitis |
| Sun Chul Kim, M.D., Jin Joo Cha, M.D., Se Won Oh, M.D., Oh Sung Kwon, M.D., Young Sun Kang, M.D., Hyeong Kyu Kim, M.D. and Dae Ryong Cha, M.D. |
| Department of Nephrology, Korea University Ansan Hospital, Ansan City, Korea |
| 증례 : 급성 췌장염과 동반되어 발생한 신경색 |
| 김선철, 차진주, 오세원, 권오성, 강영선, 김형규, 차대룡 |
| 고려대학교 의과대학 내과학교실 안산병원 신장내과 |
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| Abstract |
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A renal infarct is too rare a disease for early diagnosis and treatment. Furthermore, it presents nonspecific symptoms in many patients. Cardiac diseases such as valvular heart disease and arterial fibrillation are the most common causes of renal infarct. Vascular disease such as renal artery dissection or aortic dissection, trauma, inflammation, vasculitis, malignancy and antiphospholipid syndrome have been also known as possible causes of renal infarct. In acute pancreatitis, adjacent vessels can be involved, and were reported to induce splenic infarction, portal vein thrombosis and superior mesenteric vein thrombosis etc. However, the renal infarct from renal artery involvement in acute pancreatitis has not yet been reported. In our case, a 46 year old male patient had an abdominal trauma due to an in-car accident to develop a rupture of pancreatic tail. The progression of acute pancreatitis caused the inflammation of left renal artery, leading to renal artery obstruction. We report a case of renal infarct developed in acute pancreatitis. |
| Key Words:
Renal artery obstruction, Pancreatitis |
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