“Isolated Spontaneous Renal Artery Thrombosis – A Rare Cause of Acute Flank Pain”

Abstract

Many patients present with severe abdominal pain. Renal Artery Thrombosis (RAT) is rare, serious and misdiagnosed. RAT has been well described in association with various disorders, but isolated spontaneously occurring RAT is rare and only 2 cases have been described as of date. We present a case of flank pain presenting to emergency for evaluation and discuss the clinical aspects and management. We would like to stress on the important role of serum LDH levels and CT scan in RAT. Early diagnosis may result in salvage of organ by minimally invasive techniques. Late diagnosis will almost always result in nephrectomy.

Keywords

• Renal Artery Thrombosis
• Renal infarction
• CT scan with contrast
• Nephrectomy
• Hypertension
• Renal colic