Breast cancer is one of the most common malignancies, with a 10-year survival rate for early non-metastatic stages of over 80%. However, recurrence or relapse may occur decades after completing therapy, and cancer survivors have also a risk of secondary neoplasia especially due to radiation therapy. This case highlights the challenges of an accurate diagnosis and appropriate treatment in patients with second primary cancer and uncommon metastasis.

Renal thromboembolism is a rare, but severe condition in non-valvular paroxysmal atrial fibrillation, that could remain underdiagnosed. Due to atrial fibrillation the embolus is organized in left atrium and auricle then reach the renal artery with subsequently ischemia. Renal colic could mimic multiple pathologies as nephrolithiasis, pyelonephritis, kidney ischemia, diverticulitis, sub-occlusive intestinal syndrome, ruptured abdominal aortic aneurysm. [...]