Abstract:
: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.
journal_name
Angiologyjournal_title
Angiologyauthors
Iqbal FM,Goparaju M,Yemme S,Lewis BEdoi
10.1177/0003319707310278subject
Has Abstractpub_date
2009-02-01 00:00:00pages
122-6issue
1eissn
0003-3197issn
1940-1574pii
0003319707310278journal_volume
60pub_type
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