[Segmental renal infarction presenting as acute flank pain].
OBJECTIVE
To report the clinical case of a male with acute onset right flank pain and significant deterioration of his general status.


METHODS
40-year-old male patient with acute onset of flank pain, progressive worsening, and fever up to 40 degrees C. Blood analysis (hemogram, coagulation tests, and serum ions), urine analysis, and abdominal x-rays, ultrasound and CT scan were performed. After the diagnosis of segmental renal infarction treatment with low molecular weight heparin was started.


RESULTS
Patient improved clinically and was discharged from hospital 10 days later and received final discharge as outpatient after 6-month follow-up visit.


CONCLUSIONS
Renal infarction should be taken into consideration in the differential diagnosis of acute flank pain, when more frequent causes as renal colic or inflammatory-infectious diseases are ruled out, mainly in patients with cardiovascular diseases because the most frequent cause is embolism.
Rodríguez Corchero
Javier
J
Servicio de Urología y Unidad de Urodinámica, Hospital Universitario Virgen del Rocío, Sevilla, España. jrcorchero@hotmail.com
Villodres Duarte
Antonio
A
Pena Outeriño
Jose María
JM
León Dueñas
Eduardo
E
Pérez Espejo
Mari Paz
MP
Leal López
Antonio
A
D000208:Acute Disease; D000328:Adult; D006801:Humans; D007238:Infarction / Q000150:complications*; D007668:Kidney / Q000098:blood supply*; D008297:Male; D010146:Pain / Q000209:etiology*