Renal infarction due to spontaneous dissection of the renal artery: an unusual cause of non-visceral type abdominal pain

A 44-year-old man presented with very severe right upper quadrant pain of sudden onset. This was exacerbated by movement but unaffected by food or defaecation. It was continuous—day and night —but resolved over a 1-week period. The physical examination was normal at presentation, by which time the p...

Full description

Saved in:
Bibliographic Details
Published in:BMJ Case Reports 2013, Vol.2013
Main Authors: Kang, James H-E, Kang, Jin-Yong, Morgan, Robert
Format: Report
Language:English
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:A 44-year-old man presented with very severe right upper quadrant pain of sudden onset. This was exacerbated by movement but unaffected by food or defaecation. It was continuous—day and night —but resolved over a 1-week period. The physical examination was normal at presentation, by which time the pain had resolved. His white cell count, alanine transaminase and C reactive protein were elevated but normalised after 10 days. An abdominal CT showed low density lesions in the right kidney consistent with segmental infarcts. CT angiogram showed a dissection of the right renal artery. The patient remained asymptomatic and normotensive when reviewed 1 month later.
ISSN:1757-790X
DOI:10.1136/bcr-2013-200167