A Case of Spontaneous Renal Artery and Celiac Artery Dissection in Healthy Man.
- Author:
Jong Hun HEO
1
;
Geon Tae PARK
;
Jun Whee SONG
;
Sang Woo YIM
;
Sung CHO
;
Sung Rok KIM
Author Information
1. Department of Internal Medicine, Masan Samsung Hospital, Sungkyunkwan University School of Medicine, Korea. ksr59@unitel.co.kr
- Publication Type:Case Report
- Keywords:
Celiac artery;
Renal artery;
Artery dissection
- MeSH:
Adult;
Angiography;
Aorta;
Arteries;
Celiac Artery;
Cerebral Arteries;
Consensus;
Coronary Vessels;
Flank Pain;
Humans;
Incidence;
Infarction;
Male;
Natural History;
Physical Examination;
Renal Artery;
Splenic Infarction;
Tomography, Spiral Computed
- From:Korean Journal of Nephrology
2008;27(5):626-630
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Spontaneous dissection of peripheral arteries unrelated to the aorta is rare. Cases reported in the literature have involved the renal arteries, the coronary arteries, the cerebral arteries, and visceral arteries, in order of incidence. There is no consensus yet on indications for medical or surgical therapeutic modality. As a consequence of the rarity of spontaneous dissection of peripheral arteries, its natural history has been poorly described. A healthy 37-year-old male with normotension was admitted with an acute onset of left flank pain. Physical examination turned out an unremarkable result. Right renal infarction and splenic infarction was diagnosed by abdominal computed tomography. A spiral CT angiogram and angiography showed dissection of main right renal artery and celiac artery with involvement of branches. One year later, he has remained well and normotensive without treatment. To our knowledge, this is the first case of spontaneous renal and celiac artery dissection in normotensive patient in Korea.
