Orhan O et al, 2011: An exceedingly rare cause of secondary hypertension: bilateral renal artery dissection possibly secondary to extracorporeal shock-wave lithotripsy (ESWL)

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Orhan O et al, 2011: An exceedingly rare cause of secondary hypertension: bilateral renal artery dis...

Orhan O et al, 2011: An exceedingly rare cause of secondary hypertension: bilateral renal artery dissection possibly secondary to extracorporeal shock-wave lithotripsy (ESWL)

Orhan O, Kultigin T, Osman K, Yalcin S, Melih A, Niyazi G

Department of Radiology, School of Medicine, Selcuk University, Turkey

Abstract

Extracorporeal shock-wave lithotripsy (ESWL) is an effective and relatively non-invasive treatment modality for ureteral or renal calculi. Although it has been accepted as a safe procedure, minor and major complications have been reported after ESWL. Spontaneous renal artery dissection (SRAD) is a rare and usually misdiagnosed condition because of non-specific presentation of the patients. Depending on the severity of the extent of the dissection non-operative or surgical treatment modalities could be performed. We represent a patient with complaints of bilateral flank pain, hematuria and hypertensive urgency who was diagnosed as having bilateral SRAD possibly secondary to ESWL and chronic hypertension.

Intern Med. 2011;50(21):2633-6. Epub 2011 Nov 1

PMID:22041371[PubMed - in process]

Comment

The title of this publication says “…Renal Artery Dissection possibly Secondary to …ESWL”. The patient who had this rare medical problem had been submitted to bilateral ESWL therapy for renal calculi in 1994 and 2008 and ureterorenoscopy for a left renal stone. Unfortunately the authors do not report the time lag between stone therapy and the vascular event. So that might explain the “ possibly”.

Peter Alken