title: An exceedingly rare cause of secondary hypertension: bilateral renal artery dissection possibly secondary to extracorporeal shock-wave lithotripsy (ESWL).
abstract: Extracorporeal shock-wave lithotripsy (ESWL) is an effective and relatively non-invasive treatment modality for ureteral or renal calculi. Although it has been accepted as a safe procedure, minor and major complications have been reported after ESWL. Spontaneous renal artery dissection (SRAD) is a rare and usually misdiagnosed condition because of non-specific presentation of the patients. Depending on the severity of the extent of the dissection non-operative or surgical treatment modalities could be performed. We represent a patient with complaints of bilateral flank pain, hematuria and hypertensive urgency who was diagnosed as having bilateral SRAD possibly secondary to ESWL and chronic hypertension.
authors: Department of Radiology, School of Medicine, Selcuk University, Turkey.
authors: Ozbek
authors: O
authors: Orhan
authors: Turkmen
authors: T
authors: Kultigin
authors: Koc
authors: K
authors: Osman
authors: Solak
authors: S
authors: Yalcin
authors: Anil
authors: A
authors: Melih
authors: Gormus
authors: G
authors: Niyazi
mesh_terms: D000328:Adult; D000784:Aortic Dissection / Q000000981:diagnostic imaging* / Q000209:etiology; D006801:Humans; D006973:Hypertension / Q000000981:diagnostic imaging* / Q000209:etiology; D008096:Lithotripsy / Q000009:adverse effects*; D008297:Male; D011859:Radiography; D012077:Renal Artery / Q000000981:diagnostic imaging*