Spontaneous Bilateral Renal Artery Dissection Resulting in Renal Infarction: A Case Report

Abstract

Case: A 46-year-old man was admitted to the emergency department due to a two-day history of right lower abdominal pain. Computed tomographic angiography (CTA) demonstrated a dissecting intimal flap in both renal arteries and right renal infarction. After admission, we started medical management with anticoagulation and control of hypertension. CTA on day 9 after admission revealed a new left renal infarction, but he had no renal dysfunction or uncontrolled hypertension. Patient was treated conservatively and was discharged on day 17 after an uneventful clinical course. Although spontaneous renal artery dissection (SRAD) is a rare condition, clinicians must be mindful of the possibility of SRAD in patients with acute abdominal pain.