Case Report


Renal infarction caused by fibromuscular dysplasia

1 Rentek HD Center, İstanbul, Turkey

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Gurkan Yurteri

Rentek HD Merkezi, İstanbul,

Turkey

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Article ID: 100031Z15GY2023

doi: 10.5348/100031Z15GY2023CR

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Yurteri G. Renal infarction caused by fibromuscular dysplasia. J Case Rep Images Urol 2023;8(1):14–16.

ABSTRACT


Introduction: Fibromuscular dysplasia (FMD) is an atherosclerotic/non-inflammatory disease, usually involving the renal and internal carotid arteries. Renal infarction is a rare condition that can present with flank pain and can be caused by FMD.

Case Report: A 49-year-old female patient was admitted to the emergency department with complaints of flank pain, fever, nausea, vomiting, and chills. Her blood pressure was normal. Abdominal examination showed right costovertebral tenderness. Laboratory assessment showed hematuria, leukocytosis, increased C-reactive protein (CRP), and increased lactate dehydrogenase (LDH). Nephrolithiasis was strongly considered a cause of pain because of the nature of the pain and the presence of hematuria. The urinary system ultrasound was normal. On the computed tomography (CT), in contrastenhanced sections, an infarct area was detected in the lower pole of the right kidney. In renal angiography, severe focal stenosis was seen in the polar renal artery, and angioplasty was made.

Conclusion: Renal infarction can be caused by FMD and may be misdiagnosed as renal colic.

Keywords: Fever, Flank pain, Fibromuscular dysplasia, Renal infarction

SUPPORTING INFORMATION


Author Contributions

Gurkan Yurteri - Conception of the work, Design of the work, Acquisition of data, Analysis of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

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The corresponding author is the guarantor of submission.

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None

Consent Statement

Written informed consent was obtained from the patient for publication of this article.

Data Availability

All relevant data are within the paper and its Supporting Information files.

Conflict of Interest

Author declares no conflict of interest.

Copyright

© 2023 Gurkan Yurteri et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.