Acute Renal Infarction Presenting with Acute Abdominal Pain Secondary to Newly Discovered Atrial

License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. We report an 85-year-old female with known history of recurrent diverticulitis presented with abdominal pain. It was believed that the patient again needed to be treated for another diverticulitis and was started on the routine treatment. The initial CT scan of abdomen showed renal infarcts bilaterally that were confirmed by a CT with and without intravenous contrast secondary to unknown cause. An ECG found accidentally that the patient was in atrial fibrillation, which was the attributed factor to the renal infarctions. Subsequently, the patient was started on the appropriate anticoagulation and discharged. 1. Background Acute renal infarction is a rare cause of acute abdominal pain. It has to be expected in the patients with cardiovascular risk factors. Most accurate diagnostic tool is the helical CT scan of abdomen. Once it is diagnosed, preferred therapies are percutaneous endovascular therapy, anticoagulation, or thrombolysis. If the diagnosis is missed, there is an increase in mortality and morbidity as a consequence of declinin