Spontaneous renal infarct heralding bowel ischaemia in an adult male: lessons to learn from a rare clinical association.
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.
['Pandey|Siddharth|S|http://orcid.org/0000-0003-3314-1347', 'Aggarwal|Ajay|A|', 'Kumar|Manoj|M|', 'Sankhwar|Satyanarayan|S|']
D000784:Aneurysm, Dissecting D017809:Fatal Outcome D006495:Heparin, Low-Molecular-Weight D006801:Humans D007082:Ileum D007238:Infarction D007410:Intestinal Diseases D007511:Ischemia D007674:Kidney Diseases D008297:Male D008875:Middle Aged D012077:Renal Artery D014463:Ultrasonography
general surgery radiology urological surgery vascular surgery