Bilateral Renal Infarction in a Teenage Patient: A Case of “Transient” Antiphospholipid Syndrome?

We present a case of abdominal pain in an 18-year-old-female which was ultimately diagnosed to be due to bilateral renal infarction. The etiology of this finding was determined to be a transient antiphospholipid syndrome, a rare but known cause of renal infarction in the pediatric age group, with seropositivity for lupus anticoagulant waning after three months in this patient. We review, in addition, the literature on antiphospholipid syndrome-induced renal infarction and its varied serological presentations.