Yıl 2021, Cilt 14 , Sayı 2, Sayfalar 466 - 472 2021-04-01

Kontrastlı çok dedektörlü bilgisayarlı tomografi ile akut spontan izole renal arter diseksiyonunun saptanması
Detecting acute spontaneous isolated renal artery dissection with contrast enhanced multidetector computed tomography

Esra ÖZGÜL [1] , Furkan KAYA [2]


Amaç: Spontan izole renal arter diseksiyonu, spesifik olmayan semptomlar nedeniyle erken teşhis edilmesi zor olabilen, çok nadir fakat tehdit edici bir durumdur. Bu çalışmanın amacı, bu nadir ve önemli durumun insidansını ve çok kesitli bilgisayarlı tomografi (ÇKBT) bulgularını değerlendirmektir. Gereç ve Yöntem: Temmuz 2017-Temmuz 2020 tarihleri arasında çeşitli karın şikayetleri nedeniyle kontrastlı abdominal ÇKBT taraması yapılan tüm hastaların görüntülerini retrospektif olarak inceledik. 14000 kontrastlı ÇKBT görüntüsü değerlendirildi. Sadece aort tutulumu olmayan izole renal arter diseksiyonları dahil edildi. Yaş, cinsiyet, semptomlar, tromboz veya renal parankimal iskemi-enfarkt varlığı kaydedildi. Ortalama diseksiyon uzunluğu ve orijinden uzaklık ölçüldü. Bulgular: 8 (% 0,054) hastada spontan izole renal arter diseksiyonu (5E, 3K, yaş aralığı 43-61) vardı. Orjinden ortalama uzaklık 3,7 cm ve ortalama diseke segment uzunluğu 3,8 cm idi. 3 hastada böbrekte parankimal enfarkt vardı. Sadece 1 hastaya dijital substraksiyon anjiyografisi yapıldı. Hastalara antikoagülan tedavi başlandı. Cerrahi veya girişimsel tedaviye gerek görülmedi. ÇKBT takibi yapılabilen hastalarda diseksiyonlar tamamen kayboldu. Sonuç: Spontan izole renal arter diseksiyonu çok nadir görülen bir durumdur. Etiyoloji iyi bilinmemektedir. İlk semptomlar genellikle nonspesifik olup şiddetli karın veya yan ağrısıdır. Tıbbi, cerrahi veya girişimsel yönetimler gibi çeşitli tedavi seçenekleri mevcuttur. Erken teşhis, komplikasyonları önlemek için önemlidir. Yeni başlayan böğür veya karın ağrısı olan hastalarda düşünülmelidir.
Purpose: Spontaneous isolated renal artery dissection is a very rare but threatening condition that can be difficult to diagnose early due to nonspecific symptoms. The goal of this study is to evaluate the incidence and multidetector computed tomography (MDCT) findings of this rare and important condition. Materials and methods: We retrospectively examined the images of all patients who underwent contrast enhanced abdominal MDCT scans due to various abdominal complaints between July 2017- July 2020. 14000 contrast enhanced MDCT scans were evaluated. Only the isolated renal artery dissections without aortic involvement were included. Age, gender, symptoms, presence of thrombosis or renal parenchymal ischemia-infarct were noted. Average extension of dissection and distance from origin were measured. Results: 8(0,054%) patients had spontaneous isolated renal artery dissection (5M, 3F, age range 43-61 years). The mean distance from origin was 3.7 cm and the average extension was 3.8 cm. 3 patients had kidney infarct with a focal area of decreased perfusion. Only 1 patient underwent digital subtraction angiography. Patients were started on an anticoagulation therapy. No surgical or interventional therapy was deemed necessary. Dissections completely disappeared in patients who could undergo follow-up MDCT. Conclusion: Spontaneous isolated renal artery dissection is a very rare condition. The etiology is not well known. The initial symptoms are generally nonspecific such as severe upper abdomen or flank pain. There are several treatment options available such as medical, surgical or interventional managements. Early diagnose is important to prevent complications. It should be considered in patients with new-onset flank or abdominal pain.
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Birincil Dil en
Konular Radyoloji, Nükleer Tıp, Tıbbi Görüntüleme
Yayınlanma Tarihi Nisan 2021
Bölüm Araştırma Makalesi
Yazarlar

Orcid: 0000-0002-6005-134X
Yazar: Esra ÖZGÜL (Sorumlu Yazar)
Kurum: Afyonkarahisar Health Sciences University Faculty of Medicine, Department of Radiology
Ülke: Turkey


Orcid: 0000-0001-8619-7593
Yazar: Furkan KAYA
Kurum: Afyonkarahisar Health Sciences University Faculty of Medicine, Department of Radiology
Ülke: Turkey


Tarihler

Yayımlanma Tarihi : 1 Nisan 2021

Bibtex @araştırma makalesi { patd796834, journal = {Pamukkale Tıp Dergisi}, issn = {}, eissn = {1308-0865}, address = {Pamukkale Üniversitesi Tıp Fakültesi Eğitim Blokları Kınıklı kampüsü 20070 Kınıklı, Denizli}, publisher = {Pamukkale Üniversitesi}, year = {2021}, volume = {14}, pages = {466 - 472}, doi = {10.31362/patd.796834}, title = {Detecting acute spontaneous isolated renal artery dissection with contrast enhanced multidetector computed tomography}, key = {cite}, author = {Özgül, Esra and Kaya, Furkan} }
APA Özgül, E , Kaya, F . (2021). Detecting acute spontaneous isolated renal artery dissection with contrast enhanced multidetector computed tomography . Pamukkale Tıp Dergisi , 14 (2) , 466-472 . DOI: 10.31362/patd.796834
MLA Özgül, E , Kaya, F . "Detecting acute spontaneous isolated renal artery dissection with contrast enhanced multidetector computed tomography" . Pamukkale Tıp Dergisi 14 (2021 ): 466-472 <https://dergipark.org.tr/tr/pub/patd/issue/60284/796834>
Chicago Özgül, E , Kaya, F . "Detecting acute spontaneous isolated renal artery dissection with contrast enhanced multidetector computed tomography". Pamukkale Tıp Dergisi 14 (2021 ): 466-472
RIS TY - JOUR T1 - Detecting acute spontaneous isolated renal artery dissection with contrast enhanced multidetector computed tomography AU - Esra Özgül , Furkan Kaya Y1 - 2021 PY - 2021 N1 - doi: 10.31362/patd.796834 DO - 10.31362/patd.796834 T2 - Pamukkale Tıp Dergisi JF - Journal JO - JOR SP - 466 EP - 472 VL - 14 IS - 2 SN - -1308-0865 M3 - doi: 10.31362/patd.796834 UR - https://doi.org/10.31362/patd.796834 Y2 - 2020 ER -
EndNote %0 Pamukkale Tıp Dergisi Detecting acute spontaneous isolated renal artery dissection with contrast enhanced multidetector computed tomography %A Esra Özgül , Furkan Kaya %T Detecting acute spontaneous isolated renal artery dissection with contrast enhanced multidetector computed tomography %D 2021 %J Pamukkale Tıp Dergisi %P -1308-0865 %V 14 %N 2 %R doi: 10.31362/patd.796834 %U 10.31362/patd.796834
ISNAD Özgül, Esra , Kaya, Furkan . "Detecting acute spontaneous isolated renal artery dissection with contrast enhanced multidetector computed tomography". Pamukkale Tıp Dergisi 14 / 2 (Nisan 2021): 466-472 . https://doi.org/10.31362/patd.796834
AMA Özgül E , Kaya F . Detecting acute spontaneous isolated renal artery dissection with contrast enhanced multidetector computed tomography. Pam Tıp Derg. 2021; 14(2): 466-472.
Vancouver Özgül E , Kaya F . Detecting acute spontaneous isolated renal artery dissection with contrast enhanced multidetector computed tomography. Pamukkale Tıp Dergisi. 2021; 14(2): 466-472.
IEEE E. Özgül ve F. Kaya , "Detecting acute spontaneous isolated renal artery dissection with contrast enhanced multidetector computed tomography", Pamukkale Tıp Dergisi, c. 14, sayı. 2, ss. 466-472, Nis. 2021, doi:10.31362/patd.796834