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Spontaneous renal artery dissection masquerading as urinary tract infection. BMJ Case Rep 2018 Oct 21;2018

Date

10/23/2018

Pubmed ID

30344147

Pubmed Central ID

PMC6203007

DOI

10.1136/bcr-2018-226230

Abstract

Spontaneous renal artery dissection is a rare clinical entity, and symptoms vary from non-specific abdominal pain to life-threatening hypertension. A 44-year-old woman with no significant medical history initially presented with symptoms suggestive of urinary tract infection which did not respond to antibiotic therapy. Imaging revealed right renal infarction resulting from focal spontaneous renal artery dissection, which was managed conservatively. CT angiography is the preferred imaging modality for the diagnosis of this condition. Treatment options include medical management of hypertension with or without anticoagulation, endovascular intervention and surgical revascularisation depending on the presentation and the extent of the vascular and renal parenchymal involvement. This case emphasises the need to have high index of suspicion for uncommon diagnoses in patients who present with common symptoms but do not respond to empiric therapy.

Author List

Chamarthi G, Koratala A, Ruchi R

Author

Abhilash Koratala MD Assistant Professor in the Medicine department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Adult
Aneurysm, Dissecting
Computed Tomography Angiography
Diagnosis, Differential
Female
Humans
Kidney Diseases
Renal Artery
Stents
Urinary Tract Infections
Vascular Surgical Procedures