Case Reports in Emergency Medicine · 2014 · 10 citations · 32 references
MedicineCardiologyRadiologyCardiothoracic RadiologyClinical CardiologyRenal PathologyAcute Kidney InjuryAnticoagulation In Kidney DiseaseAtrial FibrillationDiverticular DiseaseRenal IschemiaThrombosisAcute Abdominal ImagingAcute DiverticulitisAnticoagulation RegimenContrastIntravenous Contrast ImagingProphylactic AnticoagulationRecurrent Abdominal PainRecurrent Diverticulitis
We report an 85-year-old female with known history of recurrent diverticulitis presented with abdominal pain. It was believed that the patient again needed to be treated for another diverticulitis and was started on the routine treatment. The initial CT scan of abdomen showed renal infarcts bilaterally that were confirmed by a CT with and without intravenous contrast secondary to unknown cause. An ECG found accidentally that the patient was in atrial fibrillation, which was the attributed factor to the renal infarctions. Subsequently, the patient was started on the appropriate anticoagulation and discharged.
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