Evidence map›Paper›PMID 39517057›Full record

ArticleGeneral thoracic and cardiovascular surgery cases2023

Acute bilateral renal infarction after left upper pulmonary lobectomy: a case report.

Tomohiko Matsuzaki, Kazuhiro Matsuo, Tomoki Higeta, Kie Shioyama, Kei Nakano, Hiroto Onozawa, Takaaki Tsuboi, Ryo Hashimoto, Atsushi Wada, Naohiro Aruga and 2 more

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Article in General thoracic and cardiovascular surgery cases, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

12 authors.

Tomohiko MatsuzakiDivision of General Thoracic Surgery, Department of Surgery, Tokai University School of Medicine, Ishehara, Kanagawa, Japan. yh_4amm1217@yahoo.co.jp.ORCID http://orcid.org/0000-0002-8441-1020
Kazuhiro MatsuoDivision of General Thoracic Surgery, Department of Surgery, Tokai University School of Medicine, Ishehara, Kanagawa, Japan.
Tomoki HigetaDivision of General Thoracic Surgery, Department of Surgery, Tokai University School of Medicine, Ishehara, Kanagawa, Japan.
Kie ShioyamaDivision of General Thoracic Surgery, Department of Surgery, Tokai University School of Medicine, Ishehara, Kanagawa, Japan.
Kei NakanoDivision of General Thoracic Surgery, Department of Surgery, Tokai University School of Medicine, Ishehara, Kanagawa, Japan.
Hiroto OnozawaDivision of General Thoracic Surgery, Department of Surgery, Tokai University School of Medicine, Ishehara, Kanagawa, Japan.
Takaaki TsuboiDivision of General Thoracic Surgery, Department of Surgery, Tokai University School of Medicine, Ishehara, Kanagawa, Japan.
Ryo HashimotoDivision of General Thoracic Surgery, Department of Surgery, Tokai University School of Medicine, Ishehara, Kanagawa, Japan.
Atsushi WadaDivision of General Thoracic Surgery, Department of Surgery, Tokai University School of Medicine, Ishehara, Kanagawa, Japan.
Naohiro ArugaDivision of General Thoracic Surgery, Department of Surgery, Tokai University School of Medicine, Ishehara, Kanagawa, Japan.
Ryota MasudaDivision of General Thoracic Surgery, Department of Surgery, Tokai University School of Medicine, Ishehara, Kanagawa, Japan.
Masayuki IwazakiDivision of General Thoracic Surgery, Department of Surgery, Tokai University School of Medicine, Ishehara, Kanagawa, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLeft upper lobectomy (LUL) is considered a risk factor for thrombus formation in the pulmonary vein stump compared with other lobectomies, and it occurs in 11.7-13.5% of cases. Although cerebral infarction after LUL has been reported in many articles, reports of bilateral renal infarction after lobectomy are rare. CASE PRESENTATION: A 70-year-old male patient was admitted to our hospital with a diagnosis of lung cancer. The nodule's diameter was 2.5 cm on computed tomography, and it was diagnosed as a non-small cell lung carcinoma by a bronchoscopic biopsy. The clinical stage was cT1c N0M0 (c-stageIA3). The patient underwent thoracoscopic LUL and systemic lymph node dissection. No complications were observed during the operation, and the immediate postoperative period was uneventful until postoperative day 3. On postoperative day 4, he experienced fever, abdominal pain, and nausea, which spontaneously resolved. Laboratory data showed an elevated white blood cell count, and elevated serum lactate dehydrogenase and creatinine concentrations. Contrast-enhanced computed tomography from the thorax to the pelvic cavity showed a partial defect of the bilateral kidneys. We diagnosed the patient with bilateral renal infarction.

conclusionsBilateral renal infarction after lobectomy is a rare and serious condition, which should be diagnosed as early as possible. Since all cases of reported renal infarctions occurred after LUL, special attention should be paid to postoperative management after performing LUL.

Indexed as

Case reportLeft upper lobectomyLung cancerRenal infarction

Identifiers

PMID39517057
PMCPMC11533503

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.