Fibromuscular dysplasia presenting with bilateral renal infarction.
Fibromuscular dysplasia (FMD) describes a group of conditions which cause nonatheromatous arterial stenoses, most commonly of the renal and carotid arteries, typically in young women. We report a rare case of bilateral segmental renal infarction secondary to FMD in a young male patient. His initial presentation with loin pain and pyrexia resulted in a delay in the definitive diagnosis of FMD. He was successfully treated with bilateral balloon angioplasty. The delayed diagnosis in this patient until the condition had progressed to bilateral renal infarcts highlights the need for prompt investigation and diagnosis of suspected cases of FMD.
Department of Radiology, The Alfred Hospital, Commercial Road, Melbourne, Australia. orla_doody@hotmail.com
O
O
Doody
W R
WR
Adam
P T
PT
Foley
S M
SM
Lyon
D000328:Adult; D000792:Angiography; D000800:Angioplasty, Balloon; D005352:Fibromuscular Dysplasia / Q000150:complications* / Q000000981:diagnostic imaging; D006801:Humans; D007238:Infarction / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D007668:Kidney / Q000098:blood supply*; D007674:Kidney Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D008297:Male; D014057:Tomography, X-Ray Computed