International Journal of Hematology and Oncology 2021, Vol 31, Num 4 Page(s): 182-185
Acute Renal Infarction: An Uncommon Presentation of Colon Adenocarcinoma

Mehtap E. UYAR1, Nuket BAVBEK2, Asli KOKTENER3, Ismail KIRBAS3, Faruk H. TURGUT2, Ayse ISIK1, Ali AKCAY2

1Fatih University Faculty of Medicine, Department of Internal Medicine, Ankara / TURKEY
2Fatih University Faculty of Medicine, Department of Nephrology, Ankara / TURKEY
3Fatih University Faculty of Medicine, Department of Radiology, Ankara / TURKEY

Keywords: Flank pain, Hematuria, Kidney colic, Renal infarction, Colon adenocarcinoma
Renal infarction is a rare cause of acute flank and abdominal pain. It usually occurs in patients with cardiac disease or a history associated with a high risk of thromboembolism. Malignancy is a well known hypercoagulable state. We herein report the first case of colon adenocarcinoma complicated with renal infarction, presenting with flank pain and hematuria mimicking renal colic. The clinical presentation of the patient was suggestive of nephrolithiasis. Contrast enhanced computerized tomography made the final diagnosis of renal infarction and the underlying colon cancer. A high index of clinical suspicion is warranted for the diagnosis of both renal infarction and the underlying rare causes like adenocarcinomas.