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.

Keywords

• Renal infarction
• Atrial fibrillation
• Mitral stenosis
• Renal stone.