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2012 ; 5
(3
): 261-4
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Spontaneous renal artery dissection with renal infarction
#MMPMID26069781
Renaud S
; Leray-Moraguès H
; Chenine L
; Canaud L
; Vernhet-Kovacsik H
; Canaud B
Clin Kidney J
2012[Jun]; 5
(3
): 261-4
PMID26069781
show ga
Spontaneous renal artery dissection (SRAD) is a rare entity, which often presents
diagnostic difficulties because of its non-specific clinical presentation. We
report six cases complicated with renal infarction, occurring in middle-aged male
patients without risk factors, illustrating the difficulty and delay for
diagnosing SRAD. Ultrasound and Doppler imaging were not sensitive enough to
confirm the diagnosis, and contrast-enhanced abdominal computed tomography was
used to correct the diagnosis and allow the clinicians to propose appropriate
treatment. We conclude that considering the urgency in diagnosing and treating
SRAD, contrast enhanced abdominal tomography and/or abdominal magnetic resonance
imaging should be proposed as soon as a suspicion of SRAD is evoked by the
clinical presentation.