Akademik Veri Yönetim Sistemi
XVII National Emergency Medicine Congress & 8th Intercontinental Emergency Medicine Congress & 8th International Critical Care and Emergency Medicine Congress, Antalya, Türkiye, 14 Ekim 2021
A narrowing of 50% or more in the renal artery is defined as renal artery stenosis (RAD). However, stenosis of 70% or more is considered significant in most studies. Fibromuscular dysplasia
in young people and atherosclerosis in patients over 55 years of age are the most common causes. Most patients are asymptomatic. Incidental RAD can be detected in 18-50% of cases
during coronary or peripheral angiography. If RAD is not recognized, it can lead to severe renal dysfunction, leading to the development of chronic renal failure in the patient.
With this case, we wanted to emphasize that we should also consider the diagnosis of renal artery stenosis in the emergency department.
CASE: A 78-year-old male was admitted to our emergency department with the complaint of flank pain. In the anamnesis, it was learned that the patient had flank pain that had been going
on for about 15 days. He had never experienced such pain in the period before fifteen days. There was costovertebral angle tenderness in the physical examination, and there was no tenderness, defense or rebound in the abdominal examination. No feature was detected in the hemogram, biochemistry and urogram. Spiral abdominal tomography was evaluated within normal
limits, there was no appearance compatible with the stone. Contrast-enhanced tomography of the abdomen taken afterwards showed that the left ranal artery was interrupted abruptly after
leaving the aorta and the left kidney did not retain contrast. For this reason, urology consultation was requested from the patient. After the urology consultation, the patient was admitted to
the urology clinic.
CONCLUSION: Patients are frequently admitted to the emergency department with the complaint of flank pain. When taking anamnesis from these patients, it should be questioned whether
they have had similar complaints before. Renal artery stenosis should be considered in patients who do not have recurrent similar pains and who are not suspected of urinary tract stone
disease with laboratory and imaging results