Spontaneous Renal Artery Thrombosis: An Unusual Cause of Acute Abdomen

CONTEXT: Spontaneous thrombosis of renal artery is extremely rare. Its presentation is that of commonly encountered problem of acute abdomen underscoring the need for a clinician to be aware of it. CASE REPORT: We report a case of a 56-year-old male with no previous health problems presented with complaint of abdominal pain and nausea. Computed tomography angiogram (CTA) of the abdomen and pelvis confirmed thrombus in left renal artery. He showed good response to the treatment with resolution of the thrombus and improvement in the renal perfusion. CONCLUSION: Our case does conform to the others experience of good outcome when treatment is initiated in a timely manner. This patient had resolution of symptoms and restoration of perfusion with anticoagulation. The purpose of this case report is to remind busy practicing physicians to keep spontaneous renal thromboembolism in differential diagnosis in a patient with acute abdomen.