Key result
A 53-year-old male presenting with sudden left-sided back pain was diagnosed with spontaneous renal artery dissection using contrast CT, angiography, and intravascular ultrasound.
Case Report (n=1)
Spontaneous renal artery dissection should be considered as a differential diagnosis for sudden onset back pain, especially when initial imaging is discordant with symptoms.
May warrant consideration in the differential for sudden back pain with discordant imaging; leaves open optimal diagnostic strategies.
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.
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Ota et al. (2013) conducted a case report in Spontaneous renal artery dissection (n=1). Diagnostic imaging (CT, angiography, IVUS) was evaluated on Diagnosis of spontaneous renal artery dissection. A 53-year-old male presenting with sudden left-sided back pain was diagnosed with spontaneous renal artery dissection using contrast CT, angiography, and intravascular ultrasound.
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