title: [Segmental renal infarction presenting as acute flank pain].
abstract: 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.
authors.affiliation: Servicio de Urología y Unidad de Urodinámica, Hospital Universitario Virgen del Rocío, Sevilla, España. jrcorchero@hotmail.com
authors.forename: Javier
authors.initials: J
authors.lastname: Rodríguez Corchero
authors.forename: Antonio
authors.initials: A
authors.lastname: Villodres Duarte
authors.forename: Jose María
authors.initials: JM
authors.lastname: Pena Outeriño
authors.forename: Eduardo
authors.initials: E
authors.lastname: León Dueñas
authors.forename: Mari Paz
authors.initials: MP
authors.lastname: Pérez Espejo
authors.forename: Antonio
authors.initials: A
authors.lastname: Leal López
mesh_terms: D000208:Acute Disease; D000328:Adult; D006801:Humans; D007238:Infarction / Q000150:complications*; D007668:Kidney / Q000098:blood supply*; D008297:Male; D010146:Pain / Q000209:etiology*