Article Text

PDF
CASE REPORT
Spontaneous renal infarct heralding bowel ischaemia in an adult male: lessons to learn from a rare clinical association
  1. Siddharth Pandey,
  2. Ajay Aggarwal,
  3. Manoj Kumar,
  4. Satyanarayan Sankhwar
  1. Department of Urology, King George’s Medical University, Lucknow, India
  1. Correspondence to Dr Siddharth Pandey, sid1420{at}gmail.com

Summary

Spontaneous renal artery dissection (SRAD) is a rare entity with less than 200 cases reported in literature. It usually affects middle-aged men and the clinical presentation is non-specific. Many times it is associated with conditions such as hypertension, fibromuscular dysplasia or vasculitides. We report the case of a patient who initially had renal infarct due to SRAD and then progressed to have bowel ischaemia. The renal infarct preceded bowel ischaemia in this patient and to the best of our knowledge this is the first such association reported in literature. Our report emphasises the point that whenever this condition is diagnosed in a patient one should be vigilant for other vascular disorders.

  • general surgery
  • urological surgery
  • vascular surgery
  • radiology

Statistics from Altmetric.com

Footnotes

  • Contributors SP conceived the case report. SP and AA were major contributors towards writing the manuscript. MK, SS and SP treated the patient and also interpreted the patient data. SP and SS were involved in the review. All authors read and approved the final manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.