2016
DOI: 10.5758/vsi.2016.32.4.195
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Spontaneous Renal Artery Dissection Complicated by Renal Infarction: Three Case Reports

Abstract: Spontaneous renal artery dissection (SRAD) is a rare disease entity. The diagnosis is usually delayed because clinical presentation is non-specific. We report three cases of symptomatic SRAD complicated by renal infarction which occurred in previously healthy middle-aged male patients. They visited the hospital due to acute abdominal or flank pain. They had no specific underlying disease or trauma history. The laboratory tests and physical examination were normal. They were not suspected of having SRAD initial… Show more

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Cited by 6 publications
(8 citation statements)
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References 17 publications
(24 reference statements)
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“…In some cases, endovascular treatment may be considered for patients with worsening blood pressure and/or a worsening renal function [8]. Surgical management, such as aorto-renal bypass, has also been suggested for the treatment of renovascular hypertension and acute occlusion [9].…”
Section: Discussionmentioning
confidence: 99%
“…In some cases, endovascular treatment may be considered for patients with worsening blood pressure and/or a worsening renal function [8]. Surgical management, such as aorto-renal bypass, has also been suggested for the treatment of renovascular hypertension and acute occlusion [9].…”
Section: Discussionmentioning
confidence: 99%
“…Some physical activities reported to be associated with SRAD are practicing golf, weight lifting, marathon running, and other sporting activities. 7 , 9 , 10 The exact mechanism of dissection in these conditions is not well understood, but thought to be due to stretching of the renal artery and intimal injury with subsequent dissection of the vessel wall and thrombosis. To the best of our knowledge, SRAD after sexual intercourse has not been reported before.…”
Section: Discussionmentioning
confidence: 99%
“…On Laboratory evaluation, patients are frequently found to have increased creatinine values, leucocytosis and elevated serum LDH levels, suggesting renal parenchymal loss 7. Renal arterial dissection results in haematoma formation between the intima and medial layers often resulting in severe stenosis leading to renal ischaemia, elevated renin secretion and consequent uncontrolled hypertension 5. Given the rarity of the disease and the absence of specific treatment guidelines, the evidence for management is largely derived from case reports and case series 5 8 9.…”
Section: Discussionmentioning
confidence: 99%