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Acute renal infarction as a cause of abdominal pain is rare, though its frequency is
increasing along with atherosclerotic disease. Given that underdiagnosis is often a
problem, it is important to bear this diagnosis in mind whenever a patient presents with
abdominal and flank pain, an elevated lactate dehydrogenase level, and abnormal
sediment in urine. When radiologic and ultrasound images of the abdomen are normal
and no signs suggest urinary tract obstruction, contrast-enhanced computed
tomography (CT) would be indicated to confirm the diagnosis; this noninvasive
examination is useful because the effectiveness of treatment is time-dependent. We
report the case of a woman with nonspecific abdominal pain and the aforementioned
abnormal laboratory findings. CT images were diagnostic. Fibrinolytic therapy was not
indicated and treatment with anticoagulants (low molecular weight heparin at
therapeutic dosages) was started. The patient’s condition worsened, however, and she
died a few days later.
