Spontaneous Renal Artery Dissection: An Important Differential Diagnosis for Sudden Onset of Back Pain

• Ota Koshi

  Haibara General Hospital

• Kua Eugene

  Melbourne university

• Imamura Masatoshi

  Haibara General Hospital

• Xu HengJie

  Nozaki Tokushukai Hospital

• Okutsu Masaaki

  Nozaki Tokushukai Hospital

• Kitao Takashi

  Nozaki Tokushukai Hospital

• Takaoka Naoko

  Nozaki Tokushukai Hospital

抄録

Spontaneous renal artery dissection (SRAD) is uncommon and hence diagnosis is often delayed when ideally a quick one is preferred. We report a case of a 53 year-old male, with a known history of nephrolithiasis, who was admitted into hospital complaining of sudden onset left-sided back pain. Ultrasound showed a right-sided calculus instead of the expected left. A subsequent contrast computed tomography (CT) scan was done showing an infarcted segment of the left kidney. Further investigation with angiography and intravascular ultrasound (IVUS) revealed the presence of two left renal arteries with the distal originating left renal artery having dissected.

収録刊行物

• Ｇｅｎｅｒａｌ　Ｍｅｄｉｃｉｎｅ

  Ｇｅｎｅｒａｌ　Ｍｅｄｉｃｉｎｅ 14 (2), 126-129, 2013

  一般社団法人 日本プライマリ・ケア連合学会

キーワード

• nephrolithiasis
• renal artery dissection
• IVUS
• multiple renal arteries

詳細情報

• CRID: 1390282680166486656
• NII論文ID: 130003385786
• DOI: 10.14442/general.14.126
• ISSN: 18836011
• ISSN: 13460072
• Web Site: https://search.jamas.or.jp/link/ui/2015047207
• 本文言語コード: en
• データソース種別:
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  • Crossref
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可