{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T12:16:20Z","timestamp":1756383380603,"version":"3.44.0"},"reference-count":10,"publisher":"BMJ","issue":"9","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,9,13]]},"published-print":{"date-parts":[[2021,9]]},"abstract":"<jats:p>Spontaneous renal artery dissection is a rare condition with an often non-specific presentation, resulting in a challenging diagnosis for clinicians. This is the case of a 39-year-old man who presented with an acute-onset right flank pain, mild neutrophilia and sterile urine. CT of abdomen and pelvis showed a patchy hypodense area in the right kidney originally thought to represent infection. He was treated as an atypical pyelonephritis with antibiotics and fluids. When his symptoms failed to improve, a diagnosis of renal infarction was considered and CT angiogram of the aorta revealed a spontaneous renal artery dissection. He was managed conservatively with systemic anticoagulation, antihypertensive treatment and analgesia and discharged home with resolution of his symptoms and normal renal function.<\/jats:p>","DOI":"10.1136\/bcr-2021-245949","type":"journal-article","created":{"date-parts":[[2021,9,27]],"date-time":"2021-09-27T12:57:06Z","timestamp":1632747426000},"page":"e245949","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Spontaneous renal artery dissection: an elusive diagnosis"],"prefix":"10.1136","volume":"14","author":[{"given":"Catherine Mary","family":"Henry","sequence":"first","affiliation":[{"name":"Department of Renal Medicine, Mercy University Hospital, Cork, Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"MacEneaney","sequence":"additional","affiliation":[{"name":"Department of Radiology, Mercy University Hospital, Cork, Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gemma","family":"Browne","sequence":"additional","affiliation":[{"name":"Department of Renal Medicine, Mercy University Hospital, Cork, Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2021,9,27]]},"reference":[{"key":"2025082804293474000_14.9.e245949.1","first-page":"e6960","article-title":"Isolated renal artery dissection: a systematic review of case reports","volume":"12","author":"Jha","year":"2020","journal-title":"Cureus"},{"key":"2025082804293474000_14.9.e245949.2","doi-asserted-by":"crossref","first-page":"295","DOI":"10.1016\/S0022-5347(17)70262-5","article-title":"A case of renal hypertension","volume":"52","author":"Bumpus","year":"1944","journal-title":"J Urology"},{"key":"2025082804293474000_14.9.e245949.3","doi-asserted-by":"crossref","first-page":"291","DOI":"10.1016\/j.ejvs.2018.05.002","article-title":"Clinical outcomes of conservative treatment in patients with symptomatic isolated spontaneous renal artery dissection and comparison with superior mesenteric artery dissection","volume":"56","author":"Jeong","year":"2018","journal-title":"Eur J Vasc Endovasc Surg"},{"key":"2025082804293474000_14.9.e245949.4","doi-asserted-by":"crossref","DOI":"10.1136\/bcr-2018-226230","article-title":"Spontaneous renal artery dissection masquerading as urinary tract infection","volume":"2018","author":"Chamarthi","year":"2018","journal-title":"BMJ Case Rep"},{"key":"2025082804293474000_14.9.e245949.5","doi-asserted-by":"publisher","DOI":"10.1038\/sj.jhh.1002045"},{"key":"2025082804293474000_14.9.e245949.6","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/gft073"},{"key":"2025082804293474000_14.9.e245949.7","doi-asserted-by":"crossref","first-page":"257","DOI":"10.1016\/j.ijscr.2012.03.009","article-title":"Spontaneous renal artery dissection complicated by renal infarction: a case report and review of the literature","volume":"3","author":"Katz-Summercorn","year":"2012","journal-title":"Int J Surg Case Rep"},{"key":"2025082804293474000_14.9.e245949.8","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":"2025082804293474000_14.9.e245949.9","doi-asserted-by":"crossref","first-page":"257","DOI":"10.1007\/s13730-020-00469-7","article-title":"Aortic dissection or spontaneous renal artery dissection, a rare diagnosis?","volume":"9","author":"Korkut","year":"2020","journal-title":"CEN Case Rep"},{"key":"2025082804293474000_14.9.e245949.10","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/gfh865"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2021-245949","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T11:29:43Z","timestamp":1756380583000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2021-245949"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,9]]},"references-count":10,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2021,9,27]]},"published-print":{"date-parts":[[2021,9]]}},"alternative-id":["10.1136\/bcr-2021-245949"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2021-245949","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2021,9]]}}}