Spontaneous renal artery dissection complicating with renal infarction.
Spontaneous renal artery dissection (SRAD) is a rare entity. We reported a 30-year-old healthy man presenting with sudden onset of left flank pain. Abdominal plain film and sonography were unremarkable. The contrast-enhanced abdominal computed tomographic (CT) scan demonstrated a dissecting intimal flap of the left distal renal artery (RA) complicating infarction. Selective angiography of the renal artery disclosed a long dissection of left distal RA with a patent true lumen and occlusion of left accessory RA. Conservative treatment with control of blood pressure and antiplatelet agent was prescribed. The patient was discharged with an uneventful condition on day 5.
Tsai
Tsung-Han
TH
Department of Emergency Medicine, Taichung Veterans General Hospital, Taiwan.
Su
Jung-Tsung
JT
Hu
Sung-Yuan
SY
Chao
Chih-Chung
CC
Tsan
Yu-Tse
YT
Lin
Tzu-Chieh
TC
D000328:Adult; D000784:Aortic Dissection / Q000150:complications* / Q000000981:diagnostic imaging / Q000188:drug therapy; D000959:Antihypertensive Agents / Q000627:therapeutic use; D021501:Flank Pain / Q000209:etiology; D006801:Humans; D006973:Hypertension / Q000150:complications / Q000188:drug therapy; D007238:Infarction / Q000150:complications* / Q000000981:diagnostic imaging / Q000188:drug therapy; D007668:Kidney / Q000098:blood supply* / Q000000981:diagnostic imaging; D008297:Male; D010975:Platelet Aggregation Inhibitors / Q000627:therapeutic use; D012077:Renal Artery / Q000000981:diagnostic imaging / Q000473:pathology*; D014057:Tomography, X-Ray Computed; D017539:Tunica Intima / Q000000981:diagnostic imaging / Q000473:pathology
D000959:Antihypertensive Agents; D010975:Platelet Aggregation Inhibitors