title: Bilateral renal artery dissection following extreme exertion.
abstract: Dissection of a renal artery is rare and is usually associated with underlying arterial disease. Bilateral renal artery dissection following extreme exertion is exceptionally uncommon, and thus presents a diagnostic challenge. We report a case of a middle-aged, otherwise healthy man who presented to the hospital with left flank pain after a long bicycling trip. Initial laboratory tests and urinalysis were normal. Careful review of a contrast-enhanced computed tomography angiogram (CTA) with 3D reconstruction revealed bilateral segmental renal artery dissection and thrombosis with corresponding renal infarcts. He was treated medically and rapidly recovered.
authors.affiliation: Division of Nephrology, Department of Radiology, Saint Louis University School of Medicine, MO, USA. drbarouis@gmail.com
authors.forename: S
authors.initials: S
authors.lastname: Baroudi
authors.forename: B
authors.initials: B
authors.lastname: Bastani
authors.forename: N
authors.initials: N
authors.lastname: Balci
authors.forename: B K
authors.initials: BK
authors.lastname: Bieneman
authors.forename: P
authors.initials: P
authors.lastname: Sobti
authors.forename: G C
authors.initials: GC
authors.lastname: Kudva
mesh_terms: D000784:Aortic Dissection / Q000175:diagnosis / Q000209:etiology*; D000925:Anticoagulants / Q000008:administration & dosage; D001642:Bicycling / Q000293:injuries*; D003937:Diagnosis, Differential; D003952:Diagnostic Imaging; D006801:Humans; D008297:Male; D008875:Middle Aged; D005082:Physical Exertion; D012077:Renal Artery
chemical_list: D000925:Anticoagulants