Spontaneous Renal Artery Dissection: A Case Report and Literature Review

原發性腎動脈剝離：病例報告與文獻回顧

蔡佳諺(Chia-Yang Tsai) ； 潘志祥(Chee-Seong Phan) ； 吳肇鑫(Chao-Hsin Wu)

《Journal of Emergency Medicine, Taiwan》 11卷3期 (2009/09) Pp. 103-107

摘要

原發性腎動脈剝離是一種罕見的情況，通常發生在腎臟梗塞之前。臨床的症狀常常類似泌尿道結石，這讓早期診斷變得困難。我們報告一位31歲男性，以左側腰痛4天為主訴。後來腹部電腦斷層掃瞄和血管攝影證實為腎動脈剝離併發腎梗塞，經由保守治療，病人症狀改善至今。

關鍵字

腎動脈剝離 ； 腎梗塞 ； 尿路結石 ； 血管攝影

並列摘要

Spontaneous renal artery dissection (SRAD) is a rare condition that occurs prior to renal infarction. The clinical presentation often mimics urolithiasis, which makes it difficult to diagnosis in the beginning. We describe a 31-year-old male patient who presented with left flank pain for 4 days. Renal artery dissection complicated with renal infarction was diagnosed using abdominal computed tomography (CT) and angiogram. The patient was treated with conservative methods and was free of symptoms.

並列關鍵字

Angiogram ； renal artery dissection ； renal infarction ； urolithiasis