Atrial myxoma with renal colic

Background: cardiac myxoma is a common benign tumor of the heart. It can have any presentation such as mitral stenosis, embolization. The best treatment is surgical resection. Case presentation A 30-year-old man presented with 2-days of right renal colic and chest tightness, dyspnea. He was diagnosed as renal infarction through ultrasound in another hospital and received some analgesic drugs. But the symptoms didn’t resolved and he came to our ICU(Intensive Care Medicine). We performed the ultrasonography and found a mass in the right atrium computed tomography angiography cofirmed it, and it was cross-valve growth, irregular shape, and slight enhancement of the enhanced edge, consider myxoma. Multiple non-reinforced areas were seen in the right renal cortex and medulla, right renal artery embolization, right renal infarction might be considered. The patient was taken to the operating room for emergent myxoma resection, renal artery thrombectomy. Conclusion: Myxomas should be in differential diagnosis in patient present with thromboembolism. Early diagnosis and surgical are crucial treatment in deal with myxoma.