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. 2012;3(7):257-9.
doi: 10.1016/j.ijscr.2012.03.009. Epub 2012 Mar 20.

Spontaneous renal artery dissection complicated by renal infarction: A case report and review of the literature

A C Katz-Summercorn  1 , C M Borg, P L Harris
Affiliations

Spontaneous renal artery dissection complicated by renal infarction: A case report and review of the literature

A C Katz-Summercorn et al. Int J Surg Case Rep. 2012.

Abstract

Introduction: Renal artery dissection is a rare cause of abdominal pain. The renal arteries are the commonest site of primary dissection involving visceral vessels but spontaneous bilateral dissection is extremely rare.

Presentation of case: We present a case of spontaneous bilateral renal artery dissection in a previously fit 43-year-old man who presented with right iliac fossa pain. He was treated conservatively with anticoagulation for 6 months, with resolution of the dissections on imaging at 6-month follow-up.

Discussion: The presentation of spontaneous renal artery dissection is non-specific, making it a diagnostic challenge. Computed Tomography angiography is now the gold standard for diagnosis and follow-up of these patients.

Conclusion: This case highlights the importance of considering other causes of abdominal pain in a young man with normal initial investigations and the role of conservative management.

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Figures

Fig. 1
Fig. 1
(a) CTA on admission showing the right renal artery dissection flap and renal parenchyma infarction. (b) CTA on admission showing the dissection of the main trunk of the left renal artery.
See this image and copyright information in PMC

References

    1. Mori H., Hayashi K., Tasaki T., Hori T., Yamasaki T., Amamoto Y. Spontaneous resolution of bilateral renal artery dissection: a case report. J Urol. 1986;135:114–116. - PubMed
    1. Stawicki S.P., Rosenfeld J.C., Weger N., Fields E.L., Balshi J.D. Spontaneous renal artery dissection: three cases and clinical algorithms. J Hum Hypertens. 2006;20:710–718. - PubMed
    1. John S.G., John S.G., Pillai U., Vaidyan P.B., Ishiyama T. Spontaneous renal artery dissection. Mo Med. 2010;107:124–126. - PMC - PubMed
    1. Mokri B., Houser O.W.M.D., Stanson A.W. Multivessel cervicocephalic and visceral arterial dissections: Pathogenic role of primary arterial disease in cervicocephalic arterial dissections. J Stroke Cerebrovasc Dis. 1991;1:117–123. - PubMed
    1. Jeon Y.S., Cho S.G., Hong K.C. Renal infarction caused by spontaneous renal artery dissection: treatment with catheter-directed thrombolysis and stenting. Cardiovasc Intervent Radiol. 2009;32:333–336. - PubMed

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