{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T10:35:16Z","timestamp":1756463716953,"version":"3.44.0"},"reference-count":10,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2018,10,2]]},"abstract":"<jats:p>Spontaneous renal artery dissection is a rare clinical entity, and symptoms vary from non-specific abdominal pain to life-threatening hypertension. A 44-year-old woman with no significant medical history initially presented with symptoms suggestive of urinary tract infection which did not respond to antibiotic therapy. Imaging revealed right renal infarction resulting from focal spontaneous renal artery dissection, which was managed conservatively. CT angiography is the preferred imaging modality for the diagnosis of this condition. Treatment options include medical management of hypertension with or without anticoagulation, endovascular intervention and surgical revascularisation depending on the presentation and the extent of the vascular and renal parenchymal involvement. This case emphasises the need to have high index of suspicion for uncommon diagnoses in patients who present with common symptoms but do not respond to empiric therapy.<\/jats:p>","DOI":"10.1136\/bcr-2018-226230","type":"journal-article","created":{"date-parts":[[2018,10,21]],"date-time":"2018-10-21T09:04:22Z","timestamp":1540112662000},"page":"bcr-2018-226230","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Spontaneous renal artery dissection masquerading as urinary tract infection"],"prefix":"10.1136","volume":"2018","author":[{"given":"Gajapathiraju","family":"Chamarthi","sequence":"first","affiliation":[{"name":"Division of Nephrology, Hypertension and Renal Transplantation, University of Florida, Gainesville, Florida, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5801-3574","authenticated-orcid":false,"given":"Abhilash","family":"Koratala","sequence":"additional","affiliation":[{"name":"Division of Nephrology, Hypertension and Renal Transplantation, University of Florida, Gainesville, Florida, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rupam","family":"Ruchi","sequence":"additional","affiliation":[{"name":"Division of Nephrology, Hypertension and Renal Transplantation, University of Florida, Gainesville, Florida, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2018,10,21]]},"reference":[{"key":"2025082804311754000_2018.oct19_1.bcr-2018-226230.1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvir.2009.04.069"},{"key":"2025082804311754000_2018.oct19_1.bcr-2018-226230.2","doi-asserted-by":"publisher","DOI":"10.1093\/ckj\/sfs047"},{"key":"2025082804311754000_2018.oct19_1.bcr-2018-226230.3","first-page":"135","article-title":"A case of renal hypertension","volume":"37","author":"Bumpus","year":"1945","journal-title":"Trans Am Assoc Genitourin Surg"},{"key":"2025082804311754000_2018.oct19_1.bcr-2018-226230.4","doi-asserted-by":"crossref","first-page":"509","DOI":"10.1177\/1538574417723155","article-title":"Endovascular treatment of spontaneous renal artery dissection after failure of medical management","volume":"51","author":"Vitiello","year":"2017","journal-title":"Vasc Endovascular Surg"},{"key":"2025082804311754000_2018.oct19_1.bcr-2018-226230.5","doi-asserted-by":"crossref","first-page":"195","DOI":"10.5758\/vsi.2016.32.4.195","article-title":"Spontaneous renal artery dissection complicated by renal infarction: three case reports","volume":"32","author":"Im","year":"2016","journal-title":"Vasc Specialist Int"},{"key":"2025082804311754000_2018.oct19_1.bcr-2018-226230.6","doi-asserted-by":"publisher","DOI":"10.1067\/mva.2003.171"},{"key":"2025082804311754000_2018.oct19_1.bcr-2018-226230.7","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/gft073"},{"key":"2025082804311754000_2018.oct19_1.bcr-2018-226230.8","doi-asserted-by":"publisher","DOI":"10.1038\/sj.jhh.1002045"},{"key":"2025082804311754000_2018.oct19_1.bcr-2018-226230.9","doi-asserted-by":"crossref","first-page":"78","DOI":"10.1007\/s11936-017-0579-6","article-title":"Non-atherosclerotic vascular disease in women","volume":"19","author":"Joseph","year":"2017","journal-title":"Curr Treat Options Cardiovasc Med"},{"key":"2025082804311754000_2018.oct19_1.bcr-2018-226230.10","doi-asserted-by":"publisher","DOI":"10.1007\/s10016-001-0154-0"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2018-226230","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T11:31:21Z","timestamp":1756380681000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2018-226230"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,10,21]]},"references-count":10,"alternative-id":["10.1136\/bcr-2018-226230"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2018-226230","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2018,10,21]]}}}