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Inicio Actas Urológicas Españolas Isquemia renal aguda - causa rara de lumbalgia
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Vol. 29. Issue 3.
Pages 322-331 (January 2005)
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Vol. 29. Issue 3.
Pages 322-331 (January 2005)
Isquemia renal aguda - causa rara de lumbalgia
Acute renal ischemia - unusual cause of lumbar pain
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L. Xambre*,1, M. Cerqueira*, V. Silva*, M. Almeida*, R. Prisco*, F. Carreira*, A. Paiva**
* Servicio de Urología. Hospital Pedro Hispano
** Servicio de Nefrología. Instituto Português de Oncologia. Porto. Portugal
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Resumen

La oclusión aguda de la arteria renal raramente se encuentra en la práctica clínica diaria. Su rarezay presentaciónclínica inespecífica son responsables por diagnóstico tardío o incluso por errors de diagnóstico, con síntomas que frecuentemente son atribuidos a otras entidades más comunes. No existe consenso en cuanto al abordaje terapéutico. Se describen modalidades de tratamiento múltiples en la literatura disponible. La terapia anticoagulante y medidas de apoyo son defendidas por algunos mientras otros recomiendan alternativas más invasivas, existiendo incluso autores que recomiendan cirugía abierta. Los autores presentan dos casos adicionales de isquemia renal aguda embolica. También es presentada una revisión exhaustiva de la literatura englobando aspectos etiológicos, clínicos, diagnósticos y aspectos terapéuticos

Palabras clave:
Embolia renal
Infarto renal
Abstract

Acute renal artery occlusion is rarely found in daily clinical practice. Its rarity and inespecific clinical presentation are responsible for late diagnosis or diagnostic errors, with symptoms frequently being erroneously attributed to other more common entities. There is no consensus in what concerns therapeutic options. Multiple treatment modalities are described in the available literature. Some defend anticoagulant therapy and support measures only while others recommend other more invasivealternatives reaching even open surgery. The authors present two additional case reports of acute embolic renal ischemia. A thorough literature review is also presented comprehending etiological, clinic, diagnostic and therapeutic aspects

Key words:
Renal embolism
Cancer
Renal infarction

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