Clinical Case of Suspected Caecal Appendicitis Concealing Right Renal Artery Thrombosis

We describe an Equadorean patient, 48 years old, who registered to the Emergency Room with pain, fever, leukocytosis, and c-reactive protein in the right side and right iliac fossa and was admitted for suspected acute appendicopathy. Subjected to abdominal CT scan, the presence of a right renal infarct area confirmed by angiographic study is detected. Admitted to Vascular Surgery, he was transferred to Medicine and detected to be double positive for phospholipid antibodies, concomitantly elevated triglyceride values were found. The patient, treated during hospitalization with heparin, was discharged with Warfarin-based oral anticoagulant therapy being contraindicated with direct coagulation inhibitors in the presence of antiphospholipid antibodies.