Tehran University of Medical Sciences Case Reports in Clinical Practice 2538-2683 6 6 2022 04 12 256 258 Manzoor Hussain Department of Radiodiagnosis and Imaging, Sheri Kashmir Institute of Medical Sciences, Srinagar, Jammu and Kashmir, India. Omair Shah Department of Radiodiagnosis and Imaging, Sheri Kashmir Institute of Medical Sciences, Srinagar, Jammu and Kashmir, India. Tahir Khan Department of Radiodiagnosis and Imaging, Sheri Kashmir Institute of Medical Sciences, Srinagar, Jammu and Kashmir, India. Naseer Choh Department of Radiodiagnosis and Imaging, Sheri Kashmir Institute of Medical Sciences, Srinagar, Jammu and Kashmir, India. Irfan Robbani Department of Radiodiagnosis and Imaging, Sheri Kashmir Institute of Medical Sciences, Srinagar, Jammu and Kashmir, India. 2021 01 19 2021 02 01 Spontaneous thrombosis of the renal artery is extremely rare. It presents as an acute abdomen and is often underdiagnosed. Clinicians need to be aware of this rare disease for timely diagnosis and treatment. We present a case of a 60-year-old male without previous health conditions presenting with unremitting acute pain abdomen, nausea, and vomiting. Ultrasonography was reported unremarkable. A contrast-enhanced Computed Tomography (CT) scan of the abdomen demonstrated a thrombosed right renal artery with a right renal infarct. The purpose of this case report is to put forth this rare entity as a cause of acute abdomen to provide a timely diagnosis and treatment for such patients. https://crcp.tums.ac.ir/index.php/crcp/article/view/462