A Rare Case of Isolated and Idiopathic Spontaneous Renal Artery Dissection in a Female Patient on Multiple Medications

Manjari R Regmi; Sarah-Grace A Carbrey; Priyanka Parajuli; Odalys Estefania Lara Garcia; Mukul Bhattarai

doi:10.7759/cureus.5770

A Rare Case of Isolated and Idiopathic Spontaneous Renal Artery Dissection in a Female Patient on Multiple Medications

Cureus. 2019 Sep 26;11(9):e5770. doi: 10.7759/cureus.5770.

Authors

Manjari R Regmi¹, Sarah-Grace A Carbrey², Priyanka Parajuli¹, Odalys Estefania Lara Garcia¹, Mukul Bhattarai¹

Affiliations

¹ Internal Medicine, Southern Illinois University School of Medicine, Springfield, USA.
² Internal Medicine and Psychiatry, Southern Illinois University School of Medicine, Springfield, USA.

Abstract

Constituting less than 25% of all renal artery dissections (RAD), isolated spontaneous renal artery dissection (SRAD) is a rare diagnosis that can cause subsequent renal infarction with impairment. The majority of SRAD cases are idiopathic. Management ranges from conservative, medical to endovascular, and surgical repair. We report a case of a young female on multiple medications who presented with SRAD. She presented with acute abdominal pain and was found to have isolated spontaneous renal artery dissection. The etiology of this patient's isolated SRAD could possibly be pinned down to her multiple stimulant medications used after the major known causes were ruled out.

Keywords: dextroamphetamine; dissection; methylphenidate; poly-pharmacy; spontaneous renal artery dissection; stimulant use.

Publication types

Case Reports