Renal artery dissection following marathon running. Angiology 2009;60(1):122-6
Date
02/05/2009Pubmed ID
19190030DOI
10.1177/0003319707310278Scopus ID
2-s2.0-59249093215 (requires institutional sign-in at Scopus site) 12 CitationsAbstract
A 38-year-old, previously healthy man presented with flank pain after competing in a marathon. Initial laboratory tests and urinalysis were essentially normal. Both contrast enhanced-computed tomography and magnetic resonance angiography showed an infarcted region of the left lower kidney without renal artery dissection. Thromboembolism was suspected, but further testing was negative. The diagnosis of renal artery dissection was established by angiogram, showing dissection of the segmental branch. The patient remained normotensive, maintained normal renal function, and had resolution of pain symptoms prior to discharge. On the basis of our experience and review of the literature, renal artery dissection occurs in otherwise healthy men and often goes undiagnosed. The management strategy tends to be conservative unless the patient develops progressive decline in renal function or worsening hypertension, with an excellent prognosis. This case also shows the importance of discussing the pros and cons of extreme physical exertion with all patients.
Author List
Iqbal FM, Goparaju M, Yemme S, Lewis BEAuthor
Fahad M. Iqbal MD Staff Physician in the Medicine department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AdultFlank Pain
Humans
Infarction
Kidney
Magnetic Resonance Angiography
Male
Physical Exertion
Renal Artery
Running
Tomography, X-Ray Computed
