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Renal infarction after pulmonary resection is relatively rare; however, it is associated with severe morbidity. An 80-year-old woman without any severe comorbidity or smoking history underwent left upper lobectomy (LUL) concomitant with mediastinal lymph node dissection for lung adenocarcinoma. She did not show fever, flank pain, and/or nausea; however, laboratory data revealed an elevated white blood cell count (WBC) (13,460 cells/mm ) and elevated serum lactate dehydrogenase (LDH) (670IU/L) and C-reactive protein (CRP) (23.6mg/dL) levels on the fi