title: [An unusual case of acute kidney insufficiency].
abstract: Acute aortic dissection (AAD) is a life-threatening condition with high morbidity and mortality, that involves renal arteries in at least 5-10% so leading to renal ischemia and insufficiency. AAD presenting with anuria and the necessity of renal replacement therapy occurs rarely. Here we describe a case of a hypertensive and obese patient presenting with anuria and acute kidney injury, who underwent to hemodialysis and later was diagnosed with aortic dissection. Through this case, we underline the importance of considering AAD as an important differential in patients with a long history of uncontrolled hypertension presenting with anuria.
authors.forename: Maria Luisa
authors.initials: ML
authors.lastname: Sirico
authors.forename: Ernesto
authors.initials: E
authors.lastname: D'Avanzo
authors.forename: Antonella
authors.initials: A
authors.lastname: De Blasio
authors.forename: Giovanna
authors.initials: G
authors.lastname: De Piano
authors.forename: Nicola
authors.initials: N
authors.lastname: Lomazzo
authors.forename: Lucia
authors.initials: L
authors.lastname: Di Micco
authors.forename: Lanfranco Aquilino
authors.initials: LA
authors.lastname: Musto
authors.forename: Biagio
authors.initials: B
authors.lastname: Di Iorio
mesh_terms: D058186:Acute Kidney Injury / Q000150:complications / Q000175:diagnosis*; D006801:Humans; D008297:Male; D008875:Middle Aged