AI Article Synopsis
- 51-year-old male experienced left flank pain after nearly falling, leading to the diagnosis of suspected acute dissection of the left renal artery from a CT scan.
- Renal artery dissections often go unnoticed after minor trauma, as initial symptoms may not be severe, despite being associated with blunt abdominal injuries.
- Management approaches depend on injury age, kidney preservation, and other injuries, requiring a collaborative discussion among various specialist teams for optimal care.
Article Abstract
51-year-old male presented to the emergency department with left flank pain after a near fall on steps. Computed tomography of the abdomen and pelvis with contrast showed a non-enhancing left kidney, secondary to suspected acute traumatic dissection of the left renal artery. Renal artery dissection is typically affiliated with blunt abdominal trauma, though it can also occur spontaneously. The diagnosis of a renal artery dissection after minor trauma can often go unrecognized due to a lack of initial severe symptoms.Management will vary upon the age of the injury, the preservation of the kidney, and the extent of associated injuries.Ultimately, management should be dictated by discussion with trauma surgery, vascular surgery, urology, or interventional radiology consultants. Knowing the mechanism of injury and patient risk factors can help guide your ability to successfully identify and treat the patient, limiting delays in care and potentially lowering the incidence of organ injury.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10132788 | PMC |
| http://dx.doi.org/10.7759/cureus.36759 | DOI Listing |
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