Renal infarction due to spontaneous dissection of the renal artery: an unusual cause of non-visceral type abdominal pain.
A 44-year-old man presented with very severe right upper quadrant pain of sudden onset. This was exacerbated by movement but unaffected by food or defaecation. It was continuous-day and night -but resolved over a 1-week period. The physical examination was normal at presentation, by which time the pain had resolved. His white cell count, alanine transaminase and C reactive protein were elevated but normalised after 10 days. An abdominal CT showed low density lesions in the right kidney consistent with segmental infarcts. CT angiogram showed a dissection of the right renal artery. The patient remained asymptomatic and normotensive when reviewed 1 month later.
Green Templeton College, University of Oxford, Oxford, UK.
James H-E
JH
Kang
Jin-Yong
JY
Kang
Robert
R
Morgan
D015746:Abdominal Pain / Q000209:etiology*; D000328:Adult; D000784:Aortic Dissection / Q000150:complications* / Q000000981:diagnostic imaging; D006801:Humans; D007238:Infarction / Q000000981:diagnostic imaging / Q000209:etiology*; D007668:Kidney / Q000098:blood supply*; D008297:Male; D011859:Radiography; D012077:Renal Artery