Epigastric Pain in Acute Renal Infarction: The Forgotten Presentation
  • Ossama Maadarani
    Internal medical department, Ahmadi Hospital- Kuwait oil company, Al Ahmadi
  • Zouheir Bitar
    Internal medical department, Ahmadi Hospital- Kuwait oil company, Al Ahmadi


Epigastric pain, atrial fibrillation, lactate dehydrogenase


Epigastric pain is a manifestation of several medical and surgical conditions. However, when persistent epigastric pain is associated with microscopic or frank haematuria and elevated lactate dehydrogenase (LDH), especially in patients with increased risk of thromboembolic events, acute renal infarction (ARI) should be considered. We report the case of a 77-year-old male patient who presented with sudden persistent epigastric pain and elevated LDH who was found to have atrial fibrillation. The patient was diagnosed with ARI. ARI is not usually a typical differential diagnosis in patients with persistent epigastric pain and elevated LDH in whom the risk of thromboembolic events is high. Thus, physicians should perform a contrast-enhanced CT scan as early as possible to rule out or confirm renal infarction.



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    Published: 2015-01-12
    Issue: Vol. 2 No. 1 (2015) (view)

    How to cite:
    Maadarani O, Bitar Z. Epigastric Pain in Acute Renal Infarction: The Forgotten Presentation. EJCRIM 2015;2 doi:10.12890/2015_000170.

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