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KMID : 0359920080270050626
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Korean Journal of Nephrology
2008 Volume.27 No. 5 p.626 ~ p.630
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A Case of Spontaneous Renal Artery and Celiac Artery Dissection in Healthy Man
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Heo Jong-Hoon
Kim Sung-Rok
Cho Seung
Lim Sang-Woo
Kim Jung-Hoon
Park Geon-Tae
Song Jun-Hwl
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Abstract
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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.
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KEYWORD
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Celiac Artery, Renal Artery, Artery Dissection
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