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Spontaneous Renal Artery Dissection Complicated by Renal Infarction: Three Case Reports
- Source :
- Vascular Specialist International
- Publication Year :
- 2016
- Publisher :
- Vascular Specialist International, 2016.
-
Abstract
- Spontaneous renal artery dissection (SRAD) is a rare disease entity. The diagnosis is usually delayed because clinical presentation is non-specific. We report three cases of symptomatic SRAD complicated by renal infarction which occurred in previously healthy middle-aged male patients. They visited the hospital due to acute abdominal or flank pain. They had no specific underlying disease or trauma history. The laboratory tests and physical examination were normal. They were not suspected of having SRAD initially, but computed tomography (CT) revealed dissection of the renal artery with distal hypoperfusion leading to renal infarction. They were treated conservatively with anticoagulation and/or antiplatelets for 6 months. They had a 6-month regular follow-up with CT, where resolution was confirmed in one patient and all patients remained asymptomatic. These cases emphasize the importance of clinical suspicion of SRAD in previously healthy patients who complain of abdominal pain without specific findings on initial investigation.
- Subjects :
- Abdominal pain
medicine.medical_specialty
Infarction
Physical examination
Case Report
030204 cardiovascular system & hematology
Kidney
Asymptomatic
03 medical and health sciences
0302 clinical medicine
Internal medicine
medicine.artery
Renal artery
Medicine
medicine.diagnostic_test
business.industry
Dissection
medicine.disease
medicine.anatomical_structure
Endovascular procedures
Cardiology
Surgery
Radiology
medicine.symptom
Cardiology and Cardiovascular Medicine
business
030217 neurology & neurosurgery
Rare disease
Subjects
Details
- Language :
- English
- ISSN :
- 22887989 and 22887970
- Volume :
- 32
- Issue :
- 4
- Database :
- OpenAIRE
- Journal :
- Vascular Specialist International
- Accession number :
- edsair.doi.dedup.....b1c6259ad0df312c0c9aace45da6dacc