Introduction: Pleuritic pain can be misconstrued as renal colic. Case: 32 years old female complained about her flank pain with changeable character for last three days. She had started to get oral treatment as renal colic in another hospital. The vitals were; temperature 36.8°C, pulse 92/min, respiration rate 22/min, blood pressure 130/80 mm/Hg. Physical examination and bedside ultrasonography were unremarkable. The sinuses were not identified on chest x-ray. WBC was 13.40 K/mm3. The biochemistry tests were normal. D-dimer was 98 ug/L (50-228 ug/L). There were bilateral multiple periferic tromboembolus on computerised tomography pulmonary angiography. Bilateral distal extremity venose system colorful Doppler were normal. Right heart cavities and all cardiac functions were normal. The patient without an indication of trombolitic administration was admitted to intensive care with anticoagulation treatment. Conclusion: If there were thrombosis risc factors, they should be evaluated in differential diagnose of pulmonary embolus. Evaluation of history about dyspnea could be the clue. Inexplicable dyspnea was the indication for advanced investigation methods. As symptoms were nonspesific, appropriate management can identify pulmonary embolus without any consultation in a short time, merely.

Introduction: Pleuritic pain can be misconstrued as renal colic. Case: 32 years old female complained about her flank pain with changeable character for last three days. She had started to get oral treatment as renal colic in another hospital. The vitals were; temperature 36.8°C, pulse 92/min, respiration rate 22/min, blood pressure 130/80 mm/Hg. Physical examination and bedside ultrasonography were unremarkable. The sinuses were not identified on chest x-ray. WBC was 13.40 K/mm3. The biochemistry tests were normal. D-dimer was 98 ug/L (50-228 ug/L). There were bilateral multiple periferic tromboembolus on computerised tomography pulmonary angiography. Bilateral distal extremity venose system colorful Doppler were normal. Right heart cavities and all cardiac functions were normal. There was not an indication of trombolitic administration and the patient was admitted to intensive care with anticoagulation treatment. Conclusion: If there were thrombosis risc factors, they should be evaluated in differential diagnose of pulmonary embolus. Evaluation of history about dyspnea could be the clue. Inexplicable dyspnea was the indication for advanced investigation methods. As symptoms were nonspesific, appropriate management can identify pulmonary embolus without any consultation in a short time, merely