• Dtsch. Med. Wochenschr. · Nov 2024

    Case Reports

    [Renal infarction by cannabis consumption].

    • Oliver Kolks, Stefan Stahlhoff, and Michael Lichtenberg.
    • Klinikum Hochsauerland - Karolinen-Hospital Hüsten, Klinik für Angiologie, Stolte Ley 5, 59759 Arnsberg-Hüsten.
    • Dtsch. Med. Wochenschr. 2024 Nov 1; 149 (23): 142014221420-1422.

    Introduction Renal infarction is a rare cause for an acute renal failure. At the time being, there is no sufficient correlation to the consumption of cannabis described.Case History A 40-year-old male patient presented to our emergency room because of pain in the right renal bed.Examination And Findings The duplex ultrasound showed no ectasia, but the computed tomography confirmed a renal infraction on the right side. The further diagnostics gave no indication of a classical pathogenesis, but there was a constant consumption of cannabis documented.Therapy And Course We decided for a conservative treatment with analgesia, diagnostic laboratory controls and anticoagulants because of the prolonged process. The complaints decreased.Discussion The correlation between thrombo-embolic events and the consumption of cannabis has to be more explored because of its recent legalization in Germany. It should be considered as a cardiovascular risk factor. Until today there are no recommendations for the anticoagulants.Thieme. All rights reserved.

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