Bilateral renal infarctions complicating fibromuscular dysplasia of renal arteries in a young male
| Autor: | Baki Yagci, Belda Dursun, Mehmet Batmazoglu, Gokcen Demiray |
|---|---|
| Rok vydání: | 2011 |
| Předmět: |
Male
creatinine blood level losartan urinalysis fibromuscular dysplasia Infarction Fibromuscular dysplasia Kidney urologic and male genital diseases Renal artery stenosis Acute renal failure Renal Artery creatinine clearance percutaneous transluminal renal angioplasty low molecular weight heparin steroid Angiography creatinine article blood pressure regulation Ureteral colic metoprolol Magnetic Resonance Imaging Treatment Outcome medicine.anatomical_structure priority journal Nephrology Hypertension cardiovascular system Cardiology Stents Adult medicine.medical_specialty diagnostic imaging Urology Urinary system Renal Artery Obstruction Renal function protein urine level flank pain surgical technique Aneurysm Dissecting Internal medicine medicine.artery medicine case report Humans human cardiovascular diseases Renal artery business.industry abdominal pain medicine.disease Renal infarction Surgery Aortic Dissection hematuria kidney infarction Tomography X-Ray Computed business Follow-Up Studies |
| Zdroj: | Scandinavian Journal of Urology and Nephrology. 46:73-77 |
| ISSN: | 1651-2065 0036-5599 |
| Popis: | Fibromuscular dysplasia (FMD) is an uncommon disorder, accounting for less than 10% of cases of renal artery stenosis, and typically presenting with hypertension in young women. This article reportsthe case of a previously healthy 37-year-old man presenting with acute-onset, severe, bilateral flank pain. Initially treated for ureteral colic and urinary tract infection, he was transferred to the nephrology clinic upon recognition of a rising serum creatinine. He was found to have FMD of bilateral renal arteries with a stenotic pattern on the right side and a dissecting aneurysm on the left side with resultant infarctions in both kidneys. On the basis of negative serological markers of vasculitis, a diagnosis of FMD complicated by bilateral renal infarctions was made. A stent was placed to the right stenotic renal artery, which resulted in sufficient lumen patency. No invasive procedure was performed on the other side owing to the complexity of the lesion. After 2.5 years of follow-up, the patient remained in good condition with normal renal function and adequate blood pressure control with dual antihypertensive therapy. Renal infarction complicating FMD of renal arteries is rare in the literature, with most of the cases having causative cardiovascular risk factors including coagulopathy, ischaemic heart disease, atrial fibrillationor structural cardiac abnormalities, none of which was present in this case. In conclusion, FMD may occur in atypical asymmetric presentations causing renal infarctions in both kidneys. Radiological interventions in such cases should focuson stabilizing renal lesions and renal function. © 2012 Informa Healthcare. |
| Databáze: | OpenAIRE |
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