44 male patient with abdominal pain and increased creatinin

 

Images

Doctor's Information

Name : Mohammad Ali
Family : Elahifar
Affiliation :zahedan univercity
Academic Degree : Assisstant Professor
Email : This email address is being protected from spambots. You need JavaScript enabled to view it.
Resident : hajar taheri,amin bighamian

 

Case Section

Cardiovascular

 

Patient's Information

Gender : Male
Age : 44

 

Clinical Summary

44 male patient with abdominal pain and increased creatinin

 

Imaging Findings

 images demonstrate thoracic aorta dissection with extension to abdominal aorta and both common iliac arteries.The right kidney has no paranchymal enhancement  due to renal infarction .

 

Differential Diagnosis

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Final Diagnosis

Right renal infarction due to extensive aortic dissection

 

Discussion (Related Text)

Aortic dissection is a life-threatening illness requiring early diagnosis and treatment. Uncommon early presentations mimicking various illnesses can delay diagnosis. Acute renal failure (ARF) is an uncommon complication of type A aortic dissection (AAD). Presentation with ARF is associated with an increased risk of inhospital death and persistence of renal dysfunction at midterm follow-up in type B aortic dissection, but not AAD.

 

References

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