Spontaneous renal artery dissection with bilateral renal infarction successfully treated with rivaroxaban

Abstract EN

Spontaneous renal artery dissection (SRAD) causing bilateral renal infarction is a rare condition.

It may present with nonspecific symptoms, resulting in delayed diagnosis.

We report a case of SRAD in an adult male who presented with flank pain and fever.

The patient was initially worked up for possible pyelonephritis, which came back negative.

Later, a diagnosis of SRAD with bilateral renal infarction was made on contrast-enhanced computed tomography (CT) abdomen followed by CT angiogram.

The patient was treated with rivaroxaban and antihyper- tensive therapy.

He was followed up for 12 months after the initial presentation and repeat imaging showed no new infarcts and a stable renal function.