A 47-year-old patient is presented who was admitted to the emergency department with complaints of right-sided flank pain and hypertension. His creatinine and glomerular filtration rate were 2.5 mg/dl and 37 ml/min respectively, so that contrast media administration was contraindicated. The unenhanced magnetic resonance angiography image obtained with 3D in-flow inversion recovery sequence showed right renal artery dissection, without aortic dissection. Selective renal angiography confirmed the diagnosis and a stent was placed in the renal artery. The patient was free of pain after stenting, with normalized laboratory values and blood pressure.
Spontaneous renal artery dissection diagnosed by unenhanced magnetic resonance angiography: case report / Casciani, Emanuele; Polettini, Elisabetta; Masselli, G; Stirati, G; Gualdi, Gianfranco. - In: UROLOGIA INTERNATIONALIS. - ISSN 0042-1138. - STAMPA. - 89(2012), pp. 486-488. [10.1159/000339751]