Elhassan Mohammed, Husnain Shaikh, Mian Raza
Department of Internal Medicine, Division of Hospital Medicine, University of California San Francisco (UCSF) Fresno Medical Education Program, Fresno, CA, USA,
Int Med Case Rep J. 2018 Sep 12;11:221-223. doi: 10.2147/IMCRJ.S171645. eCollection 2018.
Spontaneous renal artery dissection is a rare cause of renal infarction and can be a diagnostic challenge at times, necessitating high index of suspicion. Other common underlying causes, especially thromboembolic phenomena, need to be considered and investigated first before making this uncommon diagnosis with vascular imaging studies. Very few cases did report strenuous exercise as a predisposing factor for the development of spontaneous renal artery dissection, but we believe that sexual intercourse has not been reported before as an underlying precipitating etiology. We report a case of a young male who presented with renal infarction that started during sexual intercourse and was found to have an angiographically proven renal artery dissection.
自发性肾动脉夹层是肾梗死的罕见原因，有时可能是一个诊断难题，需要高度怀疑。在通过血管成像研究做出这种不常见的诊断之前，需要首先考虑并调查其他常见的潜在原因，尤其是血栓栓塞现象。很少有病例报道剧烈运动是自发性肾动脉夹层发生的诱发因素，但我们认为性交此前尚未被报道为潜在的促发病因。我们报告一例年轻男性病例，该患者在性交过程中出现肾梗死，血管造影证实存在肾动脉夹层。
