Spontaneous Renal Artery Dissection Diagnosed by Unenhanced Magnetic Resonance Angiography: Case Report

Publisher: Karger

E-ISSN: 1423-0399|89|4|486-488

ISSN: 0042-1138

Source: Urologia Internationalis, Vol.89, Iss.4, 2012-07, pp. : 486-488

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Abstract

A 47-year-old patient is presented who was admitted to the emergency department with complaints of right-sided flank pain and hypertension. His creatinine and glomerular filtration rate were 2.5 mg/dl and 37 ml/min respectively, so that contrast media administration was contraindicated. The unenhanced magnetic resonance angiography image obtained with 3D in-flow inversion recovery sequence showed right renal artery dissection, without aortic dissection. Selective renal angiography confirmed the diagnosis and a stent was placed in the renal artery. The patient was free of pain after stenting, with normalized laboratory values and blood pressure.