Acute renal infarction secondary to atrial fibrillation - mimicking renal stone picture.
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.
Salih
Salih Bin
SB
Department of Medicine, King Abulaziz Cardiac Center, King Fahad National Guard Hospital, King Abdulaziz Medical City, Riyadh, Kingdom of Saudi Arabia.
Al Durihim
Huda
H
Al Jizeeri
Ahmed
A
Al Maziad
Ghassan
G
D001281:Atrial Fibrillation / Q000150:complications*; D005260:Female; D006801:Humans; D007238:Infarction / Q000175:diagnosis* / Q000209:etiology*; D007668:Kidney / Q000098:blood supply*; D007669:Kidney Calculi / Q000175:diagnosis*; D008875:Middle Aged; D008946:Mitral Valve Stenosis / Q000150:complications