기저질환이 없는 건강한 성인에서 발생한 비장경색증을 동반한 양측성 신경색증 = A Case of Idipathic Bilateral Renal and Splenic Infarctions in a Healthy Man

다국어 초록 (Multilingual Abstract)

Renal infarction usually occurs in patients with cardiovascular disease or commective tissue disease. But it rarely occurs in a healthy person without any underlying diseases. Here we report a case of idiopathic bilateral renal and splenic infarctions in a healthy person. A 31-year-old man was admitted because of sudden onset of both flank and diffuse abdominal pain. He had experienced same flank and abdominal pains ten days ago. He had no medical history of hypertension, heart disease, diabetes, and renal disease. He also denied history of abdominal trauma and drug ingestion. Abdominal computed tomography revealed bilateral renal infarction and concomitant splenic infarction. Both renal arteriography also demonstrated obstruction of left anterior branch and marked narrowing of right anterior branch. Electrocardiography and echocardiography were all normal. There was no evidence of systemic lupus erythematosus, antiphospholipid syndrome, and any hypercoagulable state. (Korean J Nephrol 2004;23(2):341-344)

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