Zobrist M, Kneubühl A, Pfammatter Th, Pfiffner R, Keusch G
Abteilung Nephrologie und Dialyse, Medizinische Klinik, Stadtspital Waid, Zürich.
Praxis (Bern 1994). 2008 Jul 30;97(15):845-7. doi: 10.1024/1661-8157.97.15.845.
We discuss the case of a young man presenting with "renal colic" whose flank pain however, turned out to be the result of renal infarction due to dissection of an accessory renal artery with fibromuscular dysplasia. The condition was diagnosed after exclusion of nephrolithiasis and work-up of new onset arterial hypertension developing in the later course. He was successfully treated by ethanol ablation (renal ethanol angioinfarction) and coiling of the accessory renal artery with resolution of hypertension in the absence of any antihypertensive medication.
我们讨论了一名表现为“肾绞痛”的年轻男性病例，然而，其侧腹疼痛结果是由于一条副肾动脉夹层伴纤维肌发育异常导致的肾梗死。在排除肾结石并对后期出现的新发动脉高血压进行检查后确诊了该病症。他通过乙醇消融（肾乙醇血管梗死）和副肾动脉线圈栓塞成功治愈，在未使用任何抗高血压药物的情况下高血压得以缓解。
