Acute renal infarction

Excerpt

A 58-year-old male presented with acute onset left-sided abdominal pain for 1 day. His pain was constant, aching, without any associated nausea or vomiting; his last bowel movement was the prior evening and normal. He denied fevers, chills, loss of appetite, and dysuria. Medical history was significant for hypertension. Physical exam revealed an irregular rhythm, left-sided mid-abdominal tenderness to deep palpation without rebound or guarding, and mild costovertebral-angle tenderness. EKG showed new onset atrial fibrillation. Urinalysis was negative. Subsequent contrast computed tomography of the abdomen and pelvis (Fig. 1) revealed the diagnosis.

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