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Acute renal infarction due to emboli represents a very rare but significant threat for kidney loss, and the clinical presentation is challenging. The differential diagnosis of massive renal thrombi includes all other causes of abdominal pain, and they can be easily misdiagnosed as renal colic due to nephrolithiasis. Although there are a few case reports regarding the possibility that cardiac emboli may cause acute kidney infarction, intracardiac thrombi within the ventricular cavity diagnosed by echocardiography as a cause of such renal artery occlusion have never been reported in patients with cardiomyopathy. Herein, we describe a 39-year-old male with a history of ischemic dilated cardiomyopathy. He was admitted to our hospital with left upper abdominal pain and vomiting. After serial examinations and tests, the diagnosis of acute renal infarction due to intracardiac thrombus embolization as a result of severely reduced cardiac function was made. Copyright © 2010 S. Karger AG, Basel [ABSTRACT FROM AUTHOR]

The article presents the case study of a 31-year-old man who experienced severe loin pain in the left lower abdomen while performing a workout of the abdominal muscles in a fitness club. Abdominal computed tomography (CT) scan and angiography revealed a dissection and thrombotic occlusion of the left renal artery. Multi-step lysis was performed guaranteeing a potential restoration of the function of the affected kidney and will also prevent arterial hypertension.