自发性肾动脉夹层
Spontaneous renal artery dissection.
作者信息
Kanofsky Jamie A, Lepor Herbert
机构信息
Department of Urology, New York University Medical Center New York, NY.
出版信息
Rev Urol. 2007 Summer;9(3):156-60.
Abstract
Spontaneous renal artery dissection (SRAD) is a rare event, and thus may be a challenge for physicians to diagnose and treat. We report a case of SRAD in a healthy 56-year-old male who presented with flank pain, fever, and elevated white blood cell count. The patient was initially diagnosed with nephrolithiasis versus pyelonephritis and was admitted for observation. Multiple imaging modalities, including non-contrast computed tomography (CT), magnetic resonance imaging (MRI) with gadolinium, CT angiogram, and intraoperative angiogram, were used to make the final diagnosis of SRAD. The patient was treated with endovascular stent placement and is currently free of pain with normal laboratory values and blood pressure.
摘要
自发性肾动脉夹层（SRAD）是一种罕见的病症，因此对医生而言，其诊断和治疗可能具有挑战性。我们报告了一例56岁健康男性的SRAD病例，该患者表现为胁腹疼痛、发热和白细胞计数升高。患者最初被诊断为肾结石与肾盂肾炎，随后入院观察。通过多种成像方式，包括非增强计算机断层扫描（CT）、钆增强磁共振成像（MRI）、CT血管造影和术中血管造影，最终确诊为SRAD。该患者接受了血管内支架置入治疗，目前已无疼痛，实验室检查值和血压均正常。
相似文献
1
Spontaneous renal artery dissection.自发性肾动脉夹层
Rev Urol. 2007 Summer;9(3):156-60.
2
Spontaneous Renal Artery Dissection with Bilateral Renal Infarction Successfully Treated with Rivaroxaban.自发性肾动脉夹层伴双侧肾梗死经利伐沙班治疗成功。
Saudi J Kidney Dis Transpl. 2020 Sep-Oct;31(5):1110-1116. doi: 10.4103/1319-2442.301179.
3
Spontaneous Renal Artery Dissection Complicated by Renal Infarction: Three Case Reports.自发性肾动脉夹层并发肾梗死：三例报告
Vasc Specialist Int. 2016 Dec;32(4):195-200. doi: 10.5758/vsi.2016.32.4.195. Epub 2016 Dec 31.
4
Renal Artery Stenting Recovered Renal Function after Spontaneous Renal Artery Dissection.肾动脉支架置入术使自发性肾动脉夹层后肾功能得以恢复。
Intern Med. 2019 Aug 1;58(15):2191-2194. doi: 10.2169/internalmedicine.2550-18. Epub 2019 Apr 17.
5
[Renal Artery Stenting for Spontaneous Renal Artery Dissection with Renal Infarction].
Hinyokika Kiyo. 2021 May;67(5):187-190. doi: 10.14989/ActaUrolJap_67_5_187.
6
Endovascular Treatment of Spontaneous Renal Artery Dissection After Failure of Medical Management.药物治疗失败后自发性肾动脉夹层的血管内治疗
Vasc Endovascular Surg. 2017 Oct;51(7):509-512. doi: 10.1177/1538574417723155. Epub 2017 Aug 8.
7
A Rare Case of Isolated and Idiopathic Spontaneous Renal Artery Dissection in a Female Patient on Multiple Medications.一名正在服用多种药物的女性患者出现孤立性特发性自发性肾动脉夹层的罕见病例。
Cureus. 2019 Sep 26;11(9):e5770. doi: 10.7759/cureus.5770.
8
Utility of percutaneous treatment in spontaneous renal artery dissection: case report and review of the literature.经皮治疗自发性肾动脉夹层的效用：病例报告及文献综述
Semin Intervent Radiol. 2007 Mar;24(1):63-7. doi: 10.1055/s-2007-971188.
9
Spontaneous renal artery dissection diagnosed by unenhanced magnetic resonance angiography: case report.通过非增强磁共振血管造影诊断的自发性肾动脉夹层：病例报告
Urol Int. 2012;89(4):486-8. doi: 10.1159/000339751. Epub 2012 Jul 6.
10
Spontaneous Renal Artery Dissection in a Man with Previous Spontaneous Superior Mesenteric Artery Dissection.一名曾有自发性肠系膜上动脉夹层的男性发生自发性肾动脉夹层。
Case Rep Vasc Med. 2020 Feb 11;2020:4726381. doi: 10.1155/2020/4726381. eCollection 2020.
引用本文的文献
1
Flank pain, hypertension, and hematuria: CT and 3D cinematic rendering in the evaluation of renal artery emergencies-a pictorial essay.胁腹痛、高血压和血尿：CT及三维电影成像在肾动脉急症评估中的应用——图文综述
Emerg Radiol. 2024 Dec;31(6):925-936. doi: 10.1007/s10140-024-02279-1. Epub 2024 Aug 24.
2
Evaluation of isolated abdominal visceral artery dissection with multi-scale spiral computed tomography: a retrospective case series.多尺度螺旋 CT 评价孤立性内脏动脉夹层：回顾性病例系列。
J Cardiothorac Surg. 2021 Mar 30;16(1):61. doi: 10.1186/s13019-021-01428-8.
3
Role of imaging in visceral vascular emergencies.影像学在内脏血管急症中的作用。
Insights Imaging. 2020 Oct 15;11(1):112. doi: 10.1186/s13244-020-00913-3.
4
A Rare Case of Isolated and Idiopathic Spontaneous Renal Artery Dissection in a Female Patient on Multiple Medications.一名正在服用多种药物的女性患者出现孤立性特发性自发性肾动脉夹层的罕见病例。
Cureus. 2019 Sep 26;11(9):e5770. doi: 10.7759/cureus.5770.
5
Case Report: 52-Year-Old Male with Right Upper Quadrant Abdominal Pain.病例报告：52岁男性，右上腹腹痛。
J Clin Nephrol Ren Care. 2018;4(2). doi: 10.23937/2572-3286.1510040. Epub 2018 Dec 20.
6
Spontaneous renal artery dissection associated with sexual intercourse: a case report.性交相关的自发性肾动脉夹层：一例报告
Int Med Case Rep J. 2018 Sep 12;11:221-223. doi: 10.2147/IMCRJ.S171645. eCollection 2018.
7
Spontaneous Renal Artery Dissection as a Cause of Acute Renal Infarction: Clinical and MDCT Findings.自发性肾动脉夹层作为急性肾梗死的病因：临床及多层螺旋CT表现
J Korean Med Sci. 2017 Apr;32(4):605-612. doi: 10.3346/jkms.2017.32.4.605.
8
Spontaneous Renal Artery Dissection Complicated by Renal Infarction: Three Case Reports.自发性肾动脉夹层并发肾梗死：三例报告
Vasc Specialist Int. 2016 Dec;32(4):195-200. doi: 10.5758/vsi.2016.32.4.195. Epub 2016 Dec 31.
9
Spontaneous renal artery dissection with renal infarction.自发性肾动脉夹层伴肾梗死。
Clin Kidney J. 2012 Jun;5(3):261-4. doi: 10.1093/ckj/sfs047.
10
Split decision.有分歧的决定。
J Gen Intern Med. 2014 Dec;29(12):1707-10. doi: 10.1007/s11606-014-2874-1.
本文引用的文献
1
Spontaneous dissection of branch renal artery- is conservative management safe and effective?肾动脉分支自发性夹层——保守治疗安全有效吗？
J Urol. 2006 Nov;176(5):2125-9. doi: 10.1016/j.juro.2006.07.017.
2
Renovascular hypertension secondary to spontaneous renal artery dissection and treatment with stenting.自发性肾动脉夹层继发的肾血管性高血压及支架置入治疗
Int J Clin Pract. 2003 Jun;57(5):435-6.
3
Spontaneous dissection of renal artery: long-term results of extracorporeal reconstruction and autotransplantation1.肾动脉自发性夹层：体外重建与自体移植的长期结果1。
J Vasc Surg. 2003 Jul;38(1):116-22. doi: 10.1016/s0741-5214(02)75453-0.
4
Spontaneous renal artery dissection: treatment with coil embolization.自发性肾动脉夹层：弹簧圈栓塞治疗
J Vasc Interv Radiol. 2003 Apr;14(4):497-500. doi: 10.1097/01.rvi.0000064845.87207.70.
5
Surgical treatment of renal artery dissection in 25 patients: indications and results.
J Vasc Surg. 2003 Apr;37(4):761-8. doi: 10.1067/mva.2003.171.
6
Nonoperative management of acute spontaneous renal artery dissection.急性自发性肾动脉夹层的非手术治疗
Ann Vasc Surg. 2002 Mar;16(2):157-62. doi: 10.1007/s10016-001-0154-0. Epub 2002 Feb 13.
7
Isolated spontaneous dissection of the renal artery.孤立性自发性肾动脉夹层。
J Vasc Surg. 2001 Feb;33(2):385-91. doi: 10.1067/mva.2001.111736.
8
Renal artery stenting following acute aortic dissection: implantation and follow-up.急性主动脉夹层后的肾动脉支架置入术：植入与随访
Vasa. 2000 May;29(2):138-40. doi: 10.1024/0301-1526.29.2.138.
9
Successful Wallstent implantation for extensive iatrogenic renal artery dissection in a patient with fibromuscular dysplasia.成功为一名患有纤维肌发育异常的患者植入Wallstent支架以治疗广泛性医源性肾动脉夹层。
J Endovasc Surg. 1999 Aug;6(3):297-300. doi: 10.1583/1074-6218(1999)006<0297:SWIFEI>2.0.CO;2.
10
Renal artery dissection causing renal infarction in otherwise healthy men.肾动脉夹层在其他方面健康的男性中导致肾梗死。
Am J Kidney Dis. 1997 Dec;30(6):851-5. doi: 10.1016/s0272-6386(97)90094-9.
Zotero 插件