The presenting symptoms of acute renal vein thrombosis (RVT) can often be confused with those of nephrolithiasis. Delayed diagnosis and treatment of RVT can result in catastrophic complications, including loss of renal function and pulmonary embolism. A high clinical suspicion and early imaging with computed tomography or magnetic resonance imaging will allow early initiation of therapy and prevention of thrombus extension in patients with RVT.
