Dahmani Laurent, Murat François-Joseph, Ouaki Frédéric, Irani Jacques, Dore Bertrand
Service d'Urologie, Hôpital d'Instruction des Armées Sainte Anne, Boulevard Sainte Anne, 83000 Toulon.
Prog Urol. 2003 Sep;13(4):670-2.
Idiopathic spontaneous renal artery dissection (SRAD) is a rare disease and must be taken into account in the differential diagnosis of low back pain. It may be due to various aetiologies, secondary to degenerative or traumatic diseases, or it may be idiopathic. Intravenous urography is usually normal. Abdominal CT usually visualizes the renal infarction and selective arteriography confirms the diagnosis of renal artery dissection. Medical treatment and surveillance provide effective management of the disease. However, surgical management may be proposed either immediately or secondarily. SRAD usually has a favourable course, but, in the longer term, may be complicated by organic renal failure and renovascular hypertension.
特发性自发性肾动脉夹层（SRAD）是一种罕见疾病，在腰痛的鉴别诊断中必须予以考虑。它可能由多种病因引起，继发于退行性或创伤性疾病，也可能是特发性的。静脉肾盂造影通常正常。腹部CT通常能显示肾梗死，选择性动脉造影可确诊肾动脉夹层。药物治疗和监测可为该疾病提供有效的管理。然而，可能会立即或在后期建议进行手术治疗。SRAD通常病程良好，但从长远来看，可能会并发器质性肾衰竭和肾血管性高血压。
