Case Report (n=1)
No
Renal thromboembolism is a rare but severe complication of paroxysmal atrial fibrillation that can mimic renal colic and requires high clinical suspicion for diagnosis.
Anticoagulation may be considered for renal thromboembolism in AF; hypothesis-generating from one case and needs prospective validation.
Renal colic could mimic multiple pathologies as nephrolithiasis, pyelonephritis, sub-occlusive intestinal syndrome, ruptured abdominal aortic aneurysm.Renal thromboembolism is a rare, but severe condition in paroxysmal atrial fi brillation, that could remain underdiagnosed.76 years old female presented to the emergency department for acute onset of severe back pain, mimicking renal colic.She had a history of percutaneous transluminal coronary angioplasty, and paroxysmal atrial fi brillation.The CHADS 2 -VASC score 6 led to suspicion of abdominal arterial embolism.Contrast-enhanced abdominal CT showed acute thrombosis of renal artery branches.High levels of lactic dehydrogenase and creatine phosphokinase were characteristic.
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Bălăceanu et al. (2018) conducted a case report in Renal artery thromboembolism (n=1). continuous heparin infusion and oral anticoagulation (acenocoumarol 2 mg/day) was evaluated on Renal artery thromboembolism diagnosed and treated successfully.
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