2008
DOI: 10.3904/kjim.2008.23.2.103
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Renal infarction resulting from traumatic renal artery dissection

Abstract: 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 infarct… Show more

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Cited by 13 publications
(12 citation statements)
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“…Surgical treatments are generally preferred in renal infarction cases of traumatic origin, especially in the renal infarction cases with complications such as renal artery dissection or active bleeding (2,3). If renal function and vital signs are normal in renal artery dissection, invasive treatment may not be necessary because medical treatment alone with strict blood pressure control is as effective as surgical management (8). Our first case was treated with low molecular weight heparin.…”
Section: Discussionmentioning
confidence: 93%
“…Surgical treatments are generally preferred in renal infarction cases of traumatic origin, especially in the renal infarction cases with complications such as renal artery dissection or active bleeding (2,3). If renal function and vital signs are normal in renal artery dissection, invasive treatment may not be necessary because medical treatment alone with strict blood pressure control is as effective as surgical management (8). Our first case was treated with low molecular weight heparin.…”
Section: Discussionmentioning
confidence: 93%
“…Traumatic dissection of the renal artery is often due to a mechanism of acceleration or/and deceleration with a closed abdominal trauma [ 6 ] and is easily identified on CT scan. Thrombosis of the renal artery is more often unilateral than bilateral.…”
Section: Discussionmentioning
confidence: 99%
“…Renal artery dissection may be caused by iatrogenic injury, trauma, or arterial disease including fibromuscular disease, atherosclerotic disease, or connective tissue disorders (11). Clinical presentation of dissection of the renal artery may be classified as acute or chronic.…”
Section: Discussionmentioning
confidence: 99%