Acute Renal Failure Due to Severe Stenosis of Fibromuscular Dysplasia in a Single Kidney.
- Author:
Kyung A KWON
1
;
Seong CHO
;
Sung Rok KIM
;
Jung Hun KIM
;
Sang Woo YM
;
Geon Tae PARK
;
Jun Hwi SONG
Author Information
1. Departments of Internal Medicine, Sungkyunkwan University Collage of Medicine, Samsung Hospital, Masan, Korea. chaecho@kornet.net
- Publication Type:Case Report
- Keywords:
Fibromuscular dysplasia;
Percutaneous transluminal angioplasty
- MeSH:
Acute Kidney Injury;
Adolescent;
Adult;
Aneurysm;
Angioplasty;
Constriction, Pathologic;
Creatinine;
Dyspnea;
Edema;
Emergencies;
Female;
Fibromuscular Dysplasia;
Humans;
Hypertension;
Kidney;
Nephrectomy;
Oliguria;
Renal Artery;
Renal Dialysis;
Renal Insufficiency
- From:Korean Journal of Nephrology
2008;27(3):378-382
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Among complications of fibromuscular dysplasia are uncontrolled hypertension, aneurysm and, albeit very rare, renal failure, especially in a single kidney. We report a case of severe stenosis of fibromuscular dysplasia leading to renal failure, in need of temporary hemodialysis in 29-year-old hypertensive woman. When she was 13-year-old, she underwent a left nephrectomy because of the left renal cyst and she was treated with antihypertensive medication for several years. A few day before admission, she complained of oliguria, generalized edema and aggravated dyspnea. On the day of admission, she took emergency hemodialysis. A renal angiogram showed focal irregular stenosis in the right proximal renal artery, compatible with fibromuscular dysplasia; therefore, we performed percutaneous renal artery angioplasty. Following successful renal angioplasty, her urine output increased and creatinine level was normalized.
