International Clinical and Medical Case Reports Journal (ISSN: 2832-5788) | Volume 3, Issue 4 | Case Report | Open Access DOI

Subacute Aortic Dissection in a Patient with Nephrolithiasis and Back Pain

Ljiljana Fodor Duric MD PhD*

Ljiljana Fodor Duric MD PhD1*, Bozidar Vujicic MD PhD2, Tonko Gulin MD PhD3, Matko Gulin MD4

1School of Medicine, University Catholica Croatica, Zagreb, Croatia

Medikol Polyclinic, Department for Nephrology and Arterial Hypertension, Zagreb, Croatia

2Department for Nephrology, Dialysis and Transplantation, University Hospital Center Rijeka, Croatia School of Medicine, University of Rijeka, Croatia

3Assistant Professor, Department for Nephrology and Dialysis, University Hospital Center Sisters of Charity, Zagreb, Croatia

School of Medicine, University of Zagreb, Croatia

4Clinical Department for Diagnostic and Interventional Radiology University Hospital Center Sisters of Charity, Zagreb, Croatia

*Correspondence to: Ljiljana Fodor Duric MD PhD 

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Abstract

A 60-year-old man with previously known left-sided nephrolithiasis and arterial hypertension has been examined several times in an emergency department because of the pain in the lumbar area. During an examination, high blood pressure and increased creatinine levels have been verified, without adequate ultrasound of the right kidney. During an examination in our hospital, kidney ultrasound and color Doppler showed suspected infarction of the right kidney. MSCT angiography showed the infarction of the right kidney and the dissection of the descending aorta. The purpose of this article is to warn about the importance of expanded diagnostic procedures when an acute lumbar pain occurs, in order to exclude potentially fatal complications and to prevent lethal outcome.

Keywords:

Nephrolithiasis; Arterial hypertension; Back Pain

Citation:

Ljiljana Fodor Duric, Bozidar Vujicic, Tonko Gulin, Matko Gulin. Subacute Aortic Dissection in a Patient with Nephrolithiasis and Back Pain. A Case Report. Int Clinc Med Case Rep Jour. 2024;3(4):1-6.