Presentation
Sudden severe left renal angle pain ? renal colic.
Patient Data
Age: 35 years
Gender: Male
From the case:
Left renal infarct
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Initial CT KUB showed focal renal swelling thus CT angiogram was performed.
Wedge-shaped region of non-enhancement with filling defect in the anterior segmental branch of the left renal artery consistent with infarction.
Case Discussion
The clots causing renal infarct are usually embolic in etiology but no cardiac source was found. A patent foramen ovale was eventually detected by "bubble" echocardiography, i.e. paradoxical thromboembolism.