title: Spontaneous renal artery dissection complicating with renal infarction.
abstract: 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.
authors.affiliation: Department of Emergency Medicine, Taichung Veterans General Hospital, Taiwan.
authors.forename: Tsung-Han
authors.initials: TH
authors.lastname: Tsai
authors.forename: Jung-Tsung
authors.initials: JT
authors.lastname: Su
authors.forename: Sung-Yuan
authors.initials: SY
authors.lastname: Hu
authors.forename: Chih-Chung
authors.initials: CC
authors.lastname: Chao
authors.forename: Yu-Tse
authors.initials: YT
authors.lastname: Tsan
authors.forename: Tzu-Chieh
authors.initials: TC
authors.lastname: Lin
mesh_terms: 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
chemical_list: D000959:Antihypertensive Agents; D010975:Platelet Aggregation Inhibitors