Aortic dissection or spontaneous renal artery dissection, a rare diagnosis?

Korkut, Mustafa; Bedel, Cihan

doi:10.1007/s13730-020-00469-7

Cited by 4 publications

(2 citation statements)

References 10 publications

(11 reference statements)

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“…Six case reports, one cohort study and two narrative reviews reporting miscellaneous vascular disorders presenting with LBP, e.g., aortic thrombosis or coronary artery dissection, were found (Table 12 ). These disorders commonly present with acute LBP [ 168 , 246 – 250 ] with accompanying symptoms like chest discomfort and weakness of lower extremities [ 227 , 247 , 251 , 252 ].…”

Section: Resultsmentioning

confidence: 99%

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Extravertebral low back pain: a scoping review

Kunow,

Freyer Martins Pereira,

Chenot

2024

BMC Musculoskelet Disord

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Background Low back pain (LBP) is one of the most common reasons for consultation in general practice. Currently, LBP is categorised into specific and non-specific causes. However, extravertebral causes, such as abdominal aortic aneurysm or pancreatitis, are not being considered. Methods A systematic literature search was performed across MEDLINE, Embase, and the Cochrane library, complemented by a handsearch. Studies conducted between 1 January 2001 and 31 December 2020, where LBP was the main symptom, were included. Results The literature search identified 6040 studies, from which duplicates were removed, leaving 4105 studies for title and abstract screening. Subsequently, 265 publications were selected for inclusion, with an additional 197 publications identified through the handsearch. The majority of the studies were case reports and case series, predominantly originating from specialised care settings. A clear distinction between vertebral or rare causes of LBP was not always possible. A range of diseases were identified as potential extravertebral causes of LBP, encompassing gynaecological, urological, vascular, systemic, and gastrointestinal diseases. Notably, guidelines exhibited inconsistencies in addressing extravertebral causes. Discussion Prior to this review, there has been no systematic investigation into extravertebral causes of LBP. Although these causes are rare, the absence of robust and reliable epidemiological data hinders a comprehensive understanding, as well as the lack of standardised protocols, which contributes to a lack of accurate description of indicative symptoms. While there are certain disease-specific characteristics, such as non-mechanical or cyclical LBP, and atypical accompanying symptoms like fever, abdominal pain, or leg swelling, that may suggest extravertebral causes, it is important to recognise that these features are not universally present in every patient. Conclusion The differential diagnosis of extravertebral LBP is extensive with relatively low prevalence rates dependent on the clinical setting. Clinicians should maintain a high index of suspicion for extravertebral aetiologies, especially in patients presenting with atypical accompanying symptoms.

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Section: Resultsmentioning

confidence: 99%

“…These disorders commonly present with acute LBP [ 168 , 246 – 250 ] with accompanying symptoms like chest discomfort and weakness of lower extremities [ 227 , 247 , 251 , 252 ].…”

Section: Resultsmentioning

confidence: 99%

Extravertebral low back pain: a scoping review

Kunow,

Freyer Martins Pereira,

Chenot

2024

BMC Musculoskelet Disord

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Clinical characteristics, treatment and outcomes of patients with spontaneous renal artery dissections

Dicks

Elgendy²,

Thondapu³

et al. 2022

J Nephrol

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Spontaneous renal artery dissection: an elusive diagnosis

2021

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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.

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Aortic dissection or spontaneous renal artery dissection, a rare diagnosis?

Cited by 4 publications

References 10 publications

Extravertebral low back pain: a scoping review

Extravertebral low back pain: a scoping review

Clinical characteristics, treatment and outcomes of patients with spontaneous renal artery dissections

Spontaneous renal artery dissection: an elusive diagnosis

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