Skip to main content
Erschienen in: CardioVascular and Interventional Radiology 2/2009

01.03.2009 | Case Report

Fibromuscular Dysplasia Presenting with Bilateral Renal Infarction

verfasst von: O. Doody, W. R. Adam, P. T. Foley, S. M. Lyon

Erschienen in: CardioVascular and Interventional Radiology | Ausgabe 2/2009

Einloggen, um Zugang zu erhalten

Abstract

Fibromuscular dysplasia (FMD) describes a group of conditions which cause nonatheromatous arterial stenoses, most commonly of the renal and carotid arteries, typically in young women. We report a rare case of bilateral segmental renal infarction secondary to FMD in a young male patient. His initial presentation with loin pain and pyrexia resulted in a delay in the definitive diagnosis of FMD. He was successfully treated with bilateral balloon angioplasty. The delayed diagnosis in this patient until the condition had progressed to bilateral renal infarcts highlights the need for prompt investigation and diagnosis of suspected cases of FMD.
Literatur
1.
Zurück zum Zitat Lüscher TF, Lie JT, Stanson AW et al (1987) Arterial fibromuscular dysplasia. Mayo Clin Proc 62(10):931–952PubMed Lüscher TF, Lie JT, Stanson AW et al (1987) Arterial fibromuscular dysplasia. Mayo Clin Proc 62(10):931–952PubMed
3.
Zurück zum Zitat Salifu MO, Gordon DH, Friedman EA et al (2000) Bilateral renal infarction in a black man with medial fibromuscular dysplasia. Am J Kidney Dis 36(1):184–189PubMedCrossRef Salifu MO, Gordon DH, Friedman EA et al (2000) Bilateral renal infarction in a black man with medial fibromuscular dysplasia. Am J Kidney Dis 36(1):184–189PubMedCrossRef
4.
Zurück zum Zitat Stinchcombe SJ, Manhire AR, Bishop MC et al (1992) Renal arterial fibromuscular dysplasia: acute renal infarction in three patients with angiographic evidence of medial fibroplasia. Br J Radiol 65(769):81–84PubMedCrossRef Stinchcombe SJ, Manhire AR, Bishop MC et al (1992) Renal arterial fibromuscular dysplasia: acute renal infarction in three patients with angiographic evidence of medial fibroplasia. Br J Radiol 65(769):81–84PubMedCrossRef
5.
Zurück zum Zitat Siegelbaum MH, Weiss JP (1990) Renal infarction secondary to fibrous dysplasia and aneurysm formation of renal artery. Urology 35(1):73–75PubMedCrossRef Siegelbaum MH, Weiss JP (1990) Renal infarction secondary to fibrous dysplasia and aneurysm formation of renal artery. Urology 35(1):73–75PubMedCrossRef
6.
Zurück zum Zitat Barbey F, Matthieu C, Nseir G et al (2003) A young man with a renal colic. J Intern Med 254(6):605–608PubMedCrossRef Barbey F, Matthieu C, Nseir G et al (2003) A young man with a renal colic. J Intern Med 254(6):605–608PubMedCrossRef
7.
Zurück zum Zitat Stewart BH, Dustan HP, Kiser WS et al (1970) Correlation of angiography and natural history in evaluation of patients with renovascular hypertension. J Urol 104(2):231–238PubMed Stewart BH, Dustan HP, Kiser WS et al (1970) Correlation of angiography and natural history in evaluation of patients with renovascular hypertension. J Urol 104(2):231–238PubMed
8.
Zurück zum Zitat Harrison EG Jr, McCormack LJ (1971) Pathologic classification of renal arterial disease in renovascular hypertension. Mayo 46(3):161–167 Harrison EG Jr, McCormack LJ (1971) Pathologic classification of renal arterial disease in renovascular hypertension. Mayo 46(3):161–167
9.
Zurück zum Zitat Kincaid OW, Davis GD, Hallermann FJ et al (1968) Fibromuscular dysplasia of the renal arteries. Arteriographic features, classification, and observations on natural history of the disease. Am J Roentgenol Radium Ther Nucl Med 104(2):271–282PubMed Kincaid OW, Davis GD, Hallermann FJ et al (1968) Fibromuscular dysplasia of the renal arteries. Arteriographic features, classification, and observations on natural history of the disease. Am J Roentgenol Radium Ther Nucl Med 104(2):271–282PubMed
10.
11.
Zurück zum Zitat Stanley JC, Gewertz BL, Bove EL et al (1975) Arterial fibrodysplasia. Histopathologic character and current etiologic concepts. Arch Surg 110(5):561–566PubMed Stanley JC, Gewertz BL, Bove EL et al (1975) Arterial fibrodysplasia. Histopathologic character and current etiologic concepts. Arch Surg 110(5):561–566PubMed
12.
Zurück zum Zitat Stanley JC (1996) Renal artery fibrodysplasia. In: Novick AC, Scable J, Hamilton G (eds) Renal vascular disease. WB Saunders, London, pp 21–23 Stanley JC (1996) Renal artery fibrodysplasia. In: Novick AC, Scable J, Hamilton G (eds) Renal vascular disease. WB Saunders, London, pp 21–23
13.
Zurück zum Zitat Alimi Y, Mercier C, Péllissier JF et al (1992) Fibromuscular disease of the renal artery: a new histopathologic classification. Ann Vasc Surg 6(3):220–224PubMedCrossRef Alimi Y, Mercier C, Péllissier JF et al (1992) Fibromuscular disease of the renal artery: a new histopathologic classification. Ann Vasc Surg 6(3):220–224PubMedCrossRef
15.
Zurück zum Zitat Goncharenko V, Gerlock AJ Jr, Shaff MI et al (1981) Progression of renal artery fibromuscular dysplasia in 42 patients as seen on angiography. Radiology 139(1):45–51PubMed Goncharenko V, Gerlock AJ Jr, Shaff MI et al (1981) Progression of renal artery fibromuscular dysplasia in 42 patients as seen on angiography. Radiology 139(1):45–51PubMed
16.
Zurück zum Zitat Sinnamon K, McNally D, Harty J (2007) Fibromuscular dysplasia presenting as renal infarction. Kidney Int 72(10):1295–1296PubMedCrossRef Sinnamon K, McNally D, Harty J (2007) Fibromuscular dysplasia presenting as renal infarction. Kidney Int 72(10):1295–1296PubMedCrossRef
17.
Zurück zum Zitat Domanovits H, Paulis M, Nikfardjam M et al (1999) Acute renal infarction. Clinical characteristics of 17 patients. Medicine (Baltimore) 78(6):386–394CrossRef Domanovits H, Paulis M, Nikfardjam M et al (1999) Acute renal infarction. Clinical characteristics of 17 patients. Medicine (Baltimore) 78(6):386–394CrossRef
18.
Zurück zum Zitat Chu P, Wei Y, Huang J et al (2006) Clinical characteristics of patients with segmental renal infarction. Nephrology 11(4):336–340PubMedCrossRef Chu P, Wei Y, Huang J et al (2006) Clinical characteristics of patients with segmental renal infarction. Nephrology 11(4):336–340PubMedCrossRef
19.
Zurück zum Zitat Sabharwal R, Viatica P, Coleman P (2007) Multidetector spiral CT renal angiography in the diagnosis of renal artery fibromuscular dysplasia. Eur J Radiol 61(3):520–527PubMedCrossRef Sabharwal R, Viatica P, Coleman P (2007) Multidetector spiral CT renal angiography in the diagnosis of renal artery fibromuscular dysplasia. Eur J Radiol 61(3):520–527PubMedCrossRef
20.
Zurück zum Zitat de Fraissinette B, Garcier JM, Dieu V et al (2003) Percutaneous transluminal angioplasty of dysplastic stenoses of the renal artery: results on 70 adults. CardioVasc Interv Radiol 26(1):46–51CrossRef de Fraissinette B, Garcier JM, Dieu V et al (2003) Percutaneous transluminal angioplasty of dysplastic stenoses of the renal artery: results on 70 adults. CardioVasc Interv Radiol 26(1):46–51CrossRef
21.
Zurück zum Zitat Tanaka R, Higashi M, Naito H (2007) Angioplasty for non-arteriosclerotic renal artery stenosis: the efficacy of cutting balloon angioplasty versus conventional angioplasty. CardioVasc Interv Radiol 30(4):601–606CrossRef Tanaka R, Higashi M, Naito H (2007) Angioplasty for non-arteriosclerotic renal artery stenosis: the efficacy of cutting balloon angioplasty versus conventional angioplasty. CardioVasc Interv Radiol 30(4):601–606CrossRef
22.
Zurück zum Zitat Tanemoto M, Abe T, Chaki T et al (2005) Cutting balloon angioplasty of resistant renal artery stenosis caused by fibromuscular dysplasia. J Vasc Surg 41(5):898–901PubMedCrossRef Tanemoto M, Abe T, Chaki T et al (2005) Cutting balloon angioplasty of resistant renal artery stenosis caused by fibromuscular dysplasia. J Vasc Surg 41(5):898–901PubMedCrossRef
Metadaten
Titel
Fibromuscular Dysplasia Presenting with Bilateral Renal Infarction
verfasst von
O. Doody
W. R. Adam
P. T. Foley
S. M. Lyon
Publikationsdatum
01.03.2009
Verlag
Springer-Verlag
Erschienen in
CardioVascular and Interventional Radiology / Ausgabe 2/2009
Print ISSN: 0174-1551
Elektronische ISSN: 1432-086X
DOI
https://doi.org/10.1007/s00270-008-9363-z

Weitere Artikel der Ausgabe 2/2009

CardioVascular and Interventional Radiology 2/2009 Zur Ausgabe

Update Radiologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.