ABSTRACT
Spontaneous dissection of the renal artery is a rare phenomenon, and is more common amongst men. It is not a frequent cause of abdominal pain², which is why diagnosis is often late. The case under study is a 45 year old patient that presented sudden pain in the left renal fossa of 12 hours evolution, with no findings from the basic laboratory tests (lab testing, urinary sediment and ultrasound), an abdominal CAT was therefore carried out, which showed areas of renal infarction, as well as an emergency arteriogram, which gave findings of a possible Fibromuscular Dysplasia of the left intrarenal artery as the first diagnostic probability with a partially thrombosed focal dissection.
Subject(s)
Abdominal Pain/etiology , Fibromuscular Dysplasia/diagnosis , Renal Artery Obstruction/diagnosis , Fibromuscular Dysplasia/complications , Humans , Male , Middle Aged , Renal Artery Obstruction/complicationsABSTRACT
La disección espontánea de la arteria renal es una entidad rara, más frecuente en hombres. Es causa infrecuente de dolor abdominal2, por lo que el diagnóstico suele ser tardío. Se trata de un paciente de 45 años que presenta dolor súbito en fosa renal izquierda de 12 horas de evolución, sin hallazgos en las pruebas complementarias básicas (analítica, sedimento urinario y ecografía), por lo que se determina la realización de TAC abdominal, que demuestra áreas de infarto renal, y arteriografía urgente, con hallazgos sugerentes de Displasia Fibromuscular de arteria intrarrenal izquierda como primera posibilidad diagnóstica con disección focal parcialmente trombosada (AU)
Spontaneous dissection of the renal artery is a rare phenomenon, and is more common amongst men. It is not a frequent cause of abdominal pain2, which is why diagnosis is often late. The case under study is a 45 year old patient that presented sudden pain in the left renal fossa of 12 hours evolution, with no findings from the basic laboratory tests (lab testing, urinary sediment and ultrasound), an abdominal CAT was therefore carried out, which showed areas of renal infarction, as well as an emergency arteriogram, which gave findings of a possible Fibromuscular Dysplasia of the left intrarenal artery as the first diagnostic probability with a partially thrombosed focal dissection (AU)
