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Renal infarction

Patients usually present with abrupt onset of abdominal or flank pain.

Patients may sometimes have associated signs of extrarenal embolization, such as neurologic deficits.

Often associated with leukocytosis, an elevated serum creatinine level, microscopic hematuria, and proteinuria.

Most often caused by thromboembolic disease from heart or aorta due to a left atrial clot in a patient with atrial fibrillation, left ventricular thrombus in a patient with myocardial infarction, or thromboembolic disease due to a ruptured plaque in the aorta.

May be related to a valvular vegetation from infective endocarditis.

Rarely related to a tumor or fat emboli, or to a paradoxical embolism from a DVT in a patient with a patent foramen ovale.

May be from an insitu thrombosis due to renal artery occlusion from aortic dissection.

May be associated with a complication following aortic or renal endovascular intervention.

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