Department of Emergency Medicine, Taichung Veterans General Hospital, Taiwan.
Urology. 2010 Dec;76(6):1371-2, 1372.e1. doi: 10.1016/j.urology.2009.12.059.
Spontaneous renal artery dissection (SRAD) is a rare entity. We reported a 30-year-old healthy man presenting with sudden onset of left flank pain. Abdominal plain film and sonography were unremarkable. The contrast-enhanced abdominal computed tomographic (CT) scan demonstrated a dissecting intimal flap of the left distal renal artery (RA) complicating infarction. Selective angiography of the renal artery disclosed a long dissection of left distal RA with a patent true lumen and occlusion of left accessory RA. Conservative treatment with control of blood pressure and antiplatelet agent was prescribed. The patient was discharged with an uneventful condition on day 5.
自发性肾动脉夹层（SRAD）较为罕见。我们报告了一例 30 岁健康男性，突发左侧腰痛。腹部平片和超声未见异常。腹部增强 CT 扫描显示左肾远端动脉（RA）夹层内膜瓣，并发梗死。选择性肾动脉造影显示左肾远端 RA 长段夹层，真腔通畅，左副肾动脉闭塞。予控制血压和抗血小板药物保守治疗。患者第 5 天出院，情况良好。
