Two Cases of Spontaneous Renal Artery Dissection: Diagnosis using Abdominal Computed Tomography |
Joon-Sung Park, M.D., Chang Hwa Lee, M.D., Chong Myung Kang, M.D. and Gheun-Ho Kim, M.D. |
Department of Internal Medicine, Hanyang University College of Medicine, Seoul, Korea |
증례 : 고혈압과 신경색으로 발현하여 복부 전산화단층촬영으로 진단된 자발성 신동맥 박리 2예 |
박준성, 이창화, 강종명, 김근호 |
한양대학교 의과대학 내과학교실 |
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Abstract |
Spontaneous renal artery dissection (SRAD) is a rare event, which may be a challenge to physicians due to its rarity and nonspecific clinical presentation. We report two cases of SARD who were previously healthy men and complicated with renal infarction. Both presented with acute flank pain and high blood pressure. One was diagnosed by abdominal computed tomography and treated conservatively.
The other was confirmed to have right renal artery dissection by selective arteriography and underwent renal artery stenting. Conservative treatment with antihypertensives and anticoagulantion usually bring up satisfactory results in most cases, but revascularization may be indicated for patients who have uncontrolled hypertension, renal insufficiency as a consequence of the dissection, or bilateral renal artery dissection.
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Key Words:
Hypertension, Renal artery obstruction |
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