title: Spontaneous renal artery dissection with renal infarction.
abstract: Spontaneous renal artery dissection (SRAD) is a rare entity, which often presents diagnostic difficulties because of its non-specific clinical presentation. We report six cases complicated with renal infarction, occurring in middle-aged male patients without risk factors, illustrating the difficulty and delay for diagnosing SRAD. Ultrasound and Doppler imaging were not sensitive enough to confirm the diagnosis, and contrast-enhanced abdominal computed tomography was used to correct the diagnosis and allow the clinicians to propose appropriate treatment. We conclude that considering the urgency in diagnosing and treating SRAD, contrast enhanced abdominal tomography and/or abdominal magnetic resonance imaging should be proposed as soon as a suspicion of SRAD is evoked by the clinical presentation.
authors.affiliation: Physiology Department, George Pompidou European Hospital, APHP, Paris, France.
authors.forename: Sophie
authors.initials: S
authors.lastname: Renaud
authors.affiliation: Nephrology, Dialysis and Intensive Care Unit, Lapeyronie Hospital, CHU Montpellier, Montpellier, France.
authors.forename: Hélène
authors.initials: H
authors.lastname: Leray-Moraguès
authors.affiliation: Nephrology, Dialysis and Intensive Care Unit, Lapeyronie Hospital, CHU Montpellier, Montpellier, France.
authors.forename: Leila
authors.initials: L
authors.lastname: Chenine
authors.affiliation: Department of Thoracic and Vascular Surgery, Arnaud de Villeneuve Hospital, CHU Montpellier, Montpellier, France.
authors.forename: Ludovic
authors.initials: L
authors.lastname: Canaud
authors.affiliation: Vascular and Radiology Department, Arnaud de Villeneuve Hospital, CHU Montpellier, Montpellier, France.
authors.forename: Hélène
authors.initials: H
authors.lastname: Vernhet-Kovacsik
authors.affiliation: Nephrology, Dialysis and Intensive Care Unit, Lapeyronie Hospital, CHU Montpellier, Montpellier, France.
authors.forename: Bernard
authors.initials: B
authors.lastname: Canaud
keywords: arterial dissection; extreme exertion; renal infarction; spontaneous