title: Acute renal infarction secondary to atrial fibrillation - mimicking renal stone picture.
abstract: 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.
authors.affiliation: Department of Medicine, King Abulaziz Cardiac Center, King Fahad National Guard Hospital, King Abdulaziz Medical City, Riyadh, Kingdom of Saudi Arabia.
authors.forename: Salih Bin
authors.initials: SB
authors.lastname: Salih
authors.forename: Huda
authors.initials: H
authors.lastname: Al Durihim
authors.forename: Ahmed
authors.initials: A
authors.lastname: Al Jizeeri
authors.forename: Ghassan
authors.initials: G
authors.lastname: Al Maziad
mesh_terms: 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