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Idiopathic renal infarction: A new case report
Houcem Hedhli1, Yassine Ouanes1, Mokhtar Bibi1
1Depatement of Urology, La Rabta, Tunisia.
Urology Case Reports
|June 30, 2021
Summary
Idiopathic renal infarction, a rare cause of flank pain, requires consideration in nephretic colic diagnoses. This case highlights successful anticoagulation treatment for confirmed idiopathic renal infarction.
Area of Science:
- Nephrology
- Vascular Medicine
- Radiology
Background:
- Acute renal infarction is an uncommon condition often presenting as nephretic colic.
- Idiopathic renal infarction, in particular, is exceptionally rare, with limited documented cases.
- Early diagnosis and appropriate management are crucial for patient outcomes.
Observation:
- A 43-year-old patient presented with flank pain, a common symptom prompting medical evaluation.
- Diagnostic imaging, including CT scan and arteriography, was essential in confirming the diagnosis.
- The imaging results revealed acute renal infarction without an identifiable underlying cause.
Findings:
- The case confirmed idiopathic renal infarction as the cause of the patient's flank pain.
- Diagnostic confirmation relied on advanced imaging modalities like CT angiography and conventional arteriography.
- The condition was successfully managed through anticoagulation therapy.
Implications:
- This case underscores the importance of considering rare diagnoses like idiopathic renal infarction in patients with unexplained flank pain.
- Anticoagulation appears to be an effective treatment strategy for idiopathic renal infarction.
- Further research into the etiology and optimal management of idiopathic renal infarction is warranted.

