Acute embolic renal infarction from a left ventricular thrombus can mimic a renal calculus, requiring high clinical suspicion to avoid delayed treatment.
Heightens suspicion for embolic renal infarction in cardiac patients with flank pain; extends differential diagnosis literature while remaining hypothesis-generating.
Acute embolic renal infarction is an entity that is often misdiagnosed as a renal calculus because of similar presenting symptoms. This leads to delay in the initiation of treatment and to increased morbidity. Few case reports exist relating cardiac emboli to acute renal infarction. The authors present a patient with a renal embolism secondary to left ventricular thrombus. A brief review of the literature highlighting the importance of clinical suspicion in making an accurate diagnosis, the utility of various diagnostic studies, and comparison of various treatment options is presented.
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Singh et al. (2001) studied this question.
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