What do we miss without contrast in patients with flank pain?

Published:September 09, 2015DOI:
      Flank pain is a common complaint in the emergency department, and the most frequent cause of flank pain is urolithiasis. Spontaneous renal artery dissection and renal artery thrombosis are rare causes of abdominal pain which can result in renal parenchymal injury. They are mostly difficult to diagnose and treat in the emergency setting. The present report describes 2 patients admitted to the emergency department because of acute flank pain who were diagnosed with renal infarction.
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        • Gandhi Shruti P.
        • Patel Kajal
        • Bipin C.
        Pal Isolated Spontaneous Renal Artery Dissection Presented with Flank Pain.
        Case Rep Radiol. 2015; 2015: 896706
        • John S.G.
        • John S.G.
        • Pillai U.
        • Vaidyan P.B.
        • Ishiyama T.
        Spontaneous renal artery dissection.
        Mo Med. 2010; 107: 124-126
        • Stawicki S.P.
        • Rosenfeld J.C.
        • Weger N.
        • Fields E.L.
        • Balshi J.D.
        Spontaneous renal artery dissection: three cases and clinical algorithms.
        J Hum Hypertens. 2006; 20: 710-718
        • Jeon Y.S.
        • Cho S.G.
        • Hong K.C.
        Renal infarction caused by spontaneous renal artery dissection: treatment with catheter-directed thrombolysis and stenting.
        Cardiovasc Intervent Radiol. 2009; 32: 333-336
        • Peynircioglu B.
        • Piskinkaya S.
        • Ozer C.
        • et al.
        Isolated spontaneous renal artery dissection: diagnosis and endovascular management.
        Diagn Interv Radiol. 2011; 17: 101-104
        • Ando T.
        • Ohno H.
        • Hirata Y.
        • Emoto A.
        • Ogata S.
        • Mimata H.
        Spontaneous recovery from renal infarction resulting from renal artery dissection.
        Int J Urol. 2005; 12: 405-408
        • Stacul F.
        • van der Molen A.J.
        • Reimer P.
        • Webb J.A.
        • Thomsen H.S.
        • Morcos S.K.
        • et al.
        Contrast induced nephropathy: updated ESUR Contrast Media Safety Committee guidelines.
        Eur Radiol. 2011; 21: 2527-2541
        • Lameire N.
        • Kellum J.A.
        Contrast-induced acute kidney injury and renal support for acute kidney injury: a KDIGO summary (part 2).
        Crit Care. 2013; 17: 205