Gastritis, esophagitis, and peptic ulcer disease (PUD) present commonly with epigastric pain or dyspepsia. Dyspepsia is defined as "a predominant epigastric pain lasting at least 1 month" and "can be associated with any other upper gastrointestinal symptoms such as epigastric fullness, nausea, vomiting, or heartburn, provided epigastric pain is the patient's primary concern." [1]. The

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Kidney infarction is a rare pathology with a low incidence registered, however it is most likely that the real incidence is quite higher because many cases are not diagnosed. The clinical presentation varies from nausea to a complete kidney failure when involves most of the parenchyma, therefore affecting the proper kidney function. As for the treatment several option might be considered. The in-situ artery thrombosis is one of the best options followed by anticoagulation or endovascular therapy. There are no standard options for a monorenal patient facing the pathology described, especially with an unsuspected final diagnose is involved.