Casciani Emanuele, Polettini Elisabetta, Masselli Gabriele, Stirati Giovanni, Gualdi Gianfranco
Radiology, Emergency Department, University of Rome La Sapienza, Viale del Policlinico 155, Rome, Italy.
Urol Int. 2012;89(4):486-8. doi: 10.1159/000339751. Epub 2012 Jul 6.
A 47-year-old patient is presented who was admitted to the emergency department with complaints of right-sided flank pain and hypertension. His creatinine and glomerular filtration rate were 2.5 mg/dl and 37 ml/min respectively, so that contrast media administration was contraindicated. The unenhanced magnetic resonance angiography image obtained with 3D in-flow inversion recovery sequence showed right renal artery dissection, without aortic dissection. Selective renal angiography confirmed the diagnosis and a stent was placed in the renal artery. The patient was free of pain after stenting, with normalized laboratory values and blood pressure.
一名47岁患者因右侧胁腹疼痛和高血压被送往急诊科。他的肌酐和肾小球滤过率分别为2.5mg/dl和37ml/min，因此禁忌使用造影剂。通过三维流入反转恢复序列获得的非增强磁共振血管造影图像显示右肾动脉夹层，无主动脉夹层。选择性肾血管造影证实了诊断，并在肾动脉中置入了支架。支架置入后患者疼痛消失，实验室检查值和血压恢复正常。
