A rare cause of abdominal pain: Fibromuscular dysplasia

Abstract

A 50-year-old man had a sudden severe abdominal pain. An abdominal enhanced computed tomographic scan revealed irregular stenosis of the celiac artery, dissection of the hepatic artery and of the left common iliac artery, and mid stenosis of the right renal artery with extended renal parenchymal hypodensity. After careful evaluation, the patient was diagnosed with fibromuscular dysplasia. Systematic head and neck CT angiography revealed right vertebral arterial stenosis and saccular aneurysm of the left vertebral artery. We have chosen conservative medical treatment for the multifocal fibromuscular dysplasia.

Keywords: Abdominal pain; Douleurs abdominales; Dysplasie fibromusculaire; Fibromuscular dyplasia; Infarctus rénal; Renal infarct.