Renal artery dissection after blunt abdominal trauma: A rare cause of acute cortical necrosis

Sharples, Edward; Sobeh, Mohammed S.; Matson, Matthew; Yaqoob, Mohammed

doi:10.1053/ajkd.2002.34937

Cited by 9 publications

(5 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…An isolated renal artery dissection may be suspected in patients complaining of severe flank pain after blunt abdominal trauma 6) . Radiological imaging may be helpful in detecting renal artery pathology, such as renal artery dissection.…”

Section: Discussionmentioning

confidence: 99%

Renal infarction resulting from traumatic renal artery dissection

Kang

Lee²,

Kim³

et al. 2008

Korean J Intern Med

View full text Add to dashboard Cite

Renal artery dissection may be caused by iatrogenic injury, trauma, underlying arterial diseases such as fibromuscular disease, atherosclerotic disease, or connective tissue disease. Radiological imaging may be helpful in detecting renal artery pathology, such as renal artery dissection. For patients with acute, isolated renal artery dissection, surgical treatment, endovascular management, or medical treatment have been considered effective measures to preserve renal function. We report a case of renal infarction that came about as a consequence of renal artery dissection.

show abstract

Section: Discussionmentioning

confidence: 99%

Renal infarction resulting from traumatic renal artery dissection

Kang

Lee²,

Kim³

et al. 2008

Korean J Intern Med

View full text Add to dashboard Cite

show abstract

“…Las estrategias terapéuticas para la DEAR deben ser planeadas de manera cuidadosa depen-diendo de las posibilidades técnicas y de los objetivos planteados. Se han propuesto tanto tratamientos quirúrgicos, endovasculares, como médicos para conservar la función renal y evitar la hipertensión 1,[5][6][7][8][9] . Sin embargo, el diagnóstico suele ser tardío y no existe consenso respecto a la indicación de cada modalidad.…”

Section: Discussionunclassified

Disección espontánea de la arteria renal e infarto renal: Dos casos clínicos

Borja¹,

González²,

Rodríguez³

et al. 2008

Rev. méd. Chile

View full text Add to dashboard Cite

Spontaneous dissection of the renal artery and kidney infarction. Report of two cases We report two previously healthy males aged 33 and 37 years, presenting with severe pain in the right and left part of the abdomen, respectively. An abdominal CT scan showed in both a kidney infarction. An angio-CAT scan showed changes compatible with a fibromuscular dysplasia in the renal arterial wall. An angiography showed an intimal tear or complex dissection flap in both cases. Both had a satisfactory evolution with conservative treatment. The relationship between fibromuscular dysplasia and spontaneous dissection of the renal artery is discussed (

show abstract

“…Therapeutic strategies for IRAD should be planned according to careful examination, including renal angiography and technical feasibility. Surgical management, endovascular management or medical treatment has been desirable for acute IRAD patients to preserve renal function and/or improve hypertension 1–7 . However, the fact is that the diagnosis is often delayed and IRAD is usually the beginning of the chronic stage.…”

Section: Discussionmentioning

confidence: 99%

“…However, the fact is that the diagnosis is often delayed and IRAD is usually the beginning of the chronic stage. There is no consensus yet on indications for each modality 1–7 . Some patients have good prognosis after conservative management, 1,6 , 7,10 while others need nephrectomy to improve hypertension 2,5 , 8,9 .…”

Section: Discussionmentioning

confidence: 99%

“…Aortic dissection frequency extends into the renal artery, but isolated renal artery dissection (IRAD) is a rare condition. The rarity and non‐specific presentation often lead to diagnostic delay and the best therapeutic strategy is still under debate 1–7 . In some instances, primary nephrectomy has been indicated as one of the strategies for the management of IRAD 2,5 , 8,9 .…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Spontaneous recovery from renal infarction resulting from renal artery dissection

et al. 2005

View full text Add to dashboard Cite

A 31-year-old, previously normotensive healthy man developed right flank pain and was admitted to a medical service. Right renal infarction was suspected by enhanced abdominal computed tomography (CT) and arteriography. Fourteen days after the onset, he was transferred to the Oita University Hospital, Oita, Japan. Renal angiography revealed an isolated renal artery dissection causing renal atrophy due to main stem narrowing of the right renal artery. Renogram and renal scintigram with 99m Tc-diethylene triamine pentaacetic acid revealed a remarkable decline in the glomerular filtration rate and almost no uptake in the right kidney. Four months later, in spite of our belief that functional recovery could not be expected, intravenous pyelography and enhanced abdominal CT scans revealed a functioning right kidney that had spontaneously recovered from the renal artery dissection through conservative management.

show abstract

Renal artery dissection after blunt abdominal trauma: A rare cause of acute cortical necrosis

Cited by 9 publications

References 8 publications

Renal infarction resulting from traumatic renal artery dissection

Renal infarction resulting from traumatic renal artery dissection

Disección espontánea de la arteria renal e infarto renal: Dos casos clínicos

Spontaneous recovery from renal infarction resulting from renal artery dissection

Contact Info

Product

Resources

About