Acute renal infarction secondry to atrial fibrillation-mimicking renal stone picture

Abstract EN

Acute renal infarction presents in a similar clinical picture to that of a renal stone.

We report a 55-year-old Saudi female, known to have atrial fibrillation secondary to mitral stenosis due to rheumatic heart disease.

She presented with a two day history of right flank pain that was treated initially as a renal stone.

Further investigations confirmed her as a case of renal infarction.

Renal infarction is under-diagnosed because the similarity of its presentation to renal stone.

Renal infarction should be considered in the differential diagnosis of loin pain, particularly in a patient with atrial fibrillation.