Spontaneous renal artery dissection associated with sexual intercourse: a case report

Mohammed Elhassan, Shaikh Husnain, Raza Mian Department of Internal Medicine, Division of Hospital Medicine, University of California San Francisco (UCSF) Fresno Medical Education Program, Fresno, CA, USA Abstract: Spontaneous renal artery dissection is a rare cause of renal infarction and can be a diagnostic challenge at times, necessitating high index of suspicion. Other common underlying causes, especially thromboembolic phenomena, need to be considered and investigated first before making this uncommon diagnosis with vascular imaging studies. Very few cases did report strenuous exercise as a predisposing factor for the development of spontaneous renal artery dissection, but we believe that sexual intercourse has not been reported before as an underlying precipitating etiology. We report a case of a young male who presented with renal infarction that started during sexual intercourse and was found to have an angiographically proven renal artery dissection. Keywords: spontaneous renal artery dissection, renal infarction, sexual intercourse