scholarly journals Isolated Spontaneous Renal Artery Dissection Presented with Flank Pain

2015 ◽  
Vol 2015 ◽  
pp. 1-5 ◽  
Author(s):  
Shruti P. Gandhi ◽  
Kajal Patel ◽  
Bipin C. Pal

Spontaneous renal artery dissection is a rare but important cause of flank pain. We report a case of isolated spontaneous renal artery dissection in 56-year-old man complicated by renal infarction presented with flank pain. Doppler study pointed towards vascular pathology. Computed tomography (CT) angiography was used to make final diagnosis which demonstrated intimal flap in main renal artery with renal infarction.

2021 ◽  
Vol 14 (9) ◽  
pp. e245949
Author(s):  
Catherine Mary Henry ◽  
Peter MacEneaney ◽  
Gemma Browne

Spontaneous renal artery dissection is a rare condition with an often non-specific presentation, resulting in a challenging diagnosis for clinicians. This is the case of a 39-year-old man who presented with an acute-onset right flank pain, mild neutrophilia and sterile urine. CT of abdomen and pelvis showed a patchy hypodense area in the right kidney originally thought to represent infection. He was treated as an atypical pyelonephritis with antibiotics and fluids. When his symptoms failed to improve, a diagnosis of renal infarction was considered and CT angiogram of the aorta revealed a spontaneous renal artery dissection. He was managed conservatively with systemic anticoagulation, antihypertensive treatment and analgesia and discharged home with resolution of his symptoms and normal renal function.


2017 ◽  
Vol 32 (4) ◽  
pp. 605 ◽  
Author(s):  
Kibo Yoon ◽  
Soon-Young Song ◽  
Chang Hwa Lee ◽  
Byung-Hee Ko ◽  
Seunghun Lee ◽  
...  

2001 ◽  
Vol 34 (3) ◽  
pp. 562-564 ◽  
Author(s):  
Nick Dobrilovic ◽  
Steve Bennett ◽  
Chris Smith ◽  
John Edwards ◽  
Fred A. Luchette

1998 ◽  
Vol 160 (3 Part 1) ◽  
pp. 953-954
Author(s):  
A. Alamir ◽  
D.F. Middendorf ◽  
P. Baker ◽  
N.S. Nahman ◽  
A.B. Fontaine ◽  
...  

2008 ◽  
Vol 23 (2) ◽  
pp. 103-105 ◽  
Author(s):  
Kyung Pyo Kang ◽  
Sik Lee ◽  
Won Kim ◽  
Gong Yong Jin ◽  
Ki Ryang Na ◽  
...  

2013 ◽  
Vol 2013 ◽  
pp. 1-2 ◽  
Author(s):  
Seiichi Saito

Retroperitoneal lipoma presenting with a nutcracker-like phenomenon is extremely rare. I experienced a case of a 65-year-old man presenting with left flank pain and macrohematuria intermittently for 3 years. Computed tomography revealed a lipoma at the left pedicle of the kidney, 30 mm in diameter, causing a curving of the left renal artery and dilatation of the left renal vein. This patient was treated successfully by retroperitoneoscopic resection of the lipoma. There have been no symptoms for 10 years after the operation.


1997 ◽  
Vol 30 (6) ◽  
pp. 851-855 ◽  
Author(s):  
Amir Alamir ◽  
Donald F. Middendorf ◽  
Peter Baker ◽  
N.S. Nahman ◽  
Arthur B. Fontaine ◽  
...  

2021 ◽  
Vol 10 (6-s) ◽  
pp. 8-10
Author(s):  
Kamel El-Reshaid ◽  
Shaikha Al-Bader ◽  
Zaneta Markova

Peripheral, and even visceral, venous thromboembolism is a known complication of oral contraceptive drugs (OCPs) but arterial disease, leading to renal infarction, is rarely reported.  We describe a 36-year-old female patient who presented with sudden left loin pain for 2 days.  Ultrasound examination showed a wedge-shaped echogenic lesion at lateral side of the left kidney.  Computed tomography with contrast showed the area to be avascular and the arteriogram showed abrupt loss of the dorsal branch of left main renal artery, which lacked any deformities, confirming diagnosis of thrombosis-in-situe.  Moreover, the pelvicalyceal system did not show abnormality which ruled out ascending infection.  The patient did not have a family history or laboratory evidence of hypercoagulable disorder. An OCP was the only medication she had received in the previous 3 months. The OCP was discontinued, and the patient was treated with heparin for 3 days then Abixaban for 6 months.  Subsequent CT study with contrast, 3 months later, showed lateral kidney scar.  On follow up; she did not have subsequent thrombotic events up to 1 year.  Keywords: Abixaban, infarction, Kidney, oral contraceptive, thrombosis.


1998 ◽  
pp. 953-954
Author(s):  
A. Alamir ◽  
D. F. Middendorf ◽  
P. Baker ◽  
N. S. Nahman ◽  
A. B. Fontaine ◽  
...  

2012 ◽  
Vol 5 (3) ◽  
pp. 261-264 ◽  
Author(s):  
S. Renaud ◽  
H. Leray-Moragues ◽  
L. Chenine ◽  
L. Canaud ◽  
H. Vernhet-Kovacsik ◽  
...  

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