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Case Report
1 Rentek HD Center, İstanbul, Turkey
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Gurkan Yurteri
Rentek HD Merkezi, İstanbul,
Turkey
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Article ID: 100031Z15GY2023
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
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.
Guaranter of SubmissionThe corresponding author is the guarantor of submission.
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Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthor declares no conflict of interest.
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