Isolated Spontaneous Renal Artery Dissection Presented with Flank Pain

Abstract

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.

Endovascular treatment of spontaneous renal artery dissection

“…5 Given the rarity and nonspecific clinical presentation of SRAD, it can be easily undetected in the clinic. 6,7 Since its first description, approximately 200 cases have been reported. 8 However, the SRADrelated literature has been limited to individual case reports and a small number of cases series.…”

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

“…In the literature, there are certain cases with spontaneous resolution. Resolution occurs as a result of the disappearance of this dissection segment by the obliteration and organization of the false lumen again to the actual lumen [10]. The evaluation of the case by us, as emergency specialists, was very important since the natural history of SRAD has not been fully understood due to the small number of cases and the lack of patient follow-up.…”

Spontaneous Renal Artery Dissection in a Man with Previous Spontaneous Superior Mesenteric Artery Dissection

“…SRAD is difficult to diagnose because of its nonspecific symptoms. Renal ultrasound and Doppler have poor diagnostic sensitivity, so contrast-enhanced CT is the gold standard for diagnosis [3]. The treatment for SRAD has not been established, so treatment should be based on the patient's clinical presentation and the anatomical features of the dissection.…”