This case report details the clinical presentation, diagnostic journey, and management of a middle-aged male, aged 40, who sought medical attention in October 2023 for elevated blood pressure and left lumbar pain. Radiological investigation, including non-contrast and contrast-enhanced computed tomography (CT), unveiled left renal artery stenosis attributed to bromuscular dysplasia. Subsequent evaluations by urologists and vascular surgeons delineated sub-occluded arterial branches and ischemic changes in the left renal parenchyma. The patient was discharged with directives for regular home monitoring, adherence to a salt-water regimen, and recurring ultrasonography of abdominal aorta and renal arteries every 6 months. Consultations with urologists and neurologists were strongly recommended, underscoring the importance of a multidisciplinary approach and diligent monitoring in the continuum of healthcare management. This case emphasizes the signicance of timely diagnosis and tailored intervention in managing bromuscular dysplasia-associated hypertension.
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Y.I et al. (2024) studied this question.
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