To highlight the diagnostic complexity and management considerations of rare renal artery disease through detailed case reports of patients with unilateral renal artery pathology.
Approach:
Case Report 1: A 47-year-old man presented with left flank pain and was evaluated for suspected diverticulitis. Imaging revealed perivascular tissue around the left renal artery, leading to a diagnosis of localized vasculitis after multidisciplinary assessment.
Case Report 2: A 42-year-old patient presented with episodic headaches and systemic symptoms, requiring further investigation to differentiate between vasculitis and isolated renal artery dissection.
Key Findings:
Isolated renal artery involvement due to vasculitis is rare and poses diagnostic challenges.
Imaging techniques like CTA and MRA are crucial for diagnosis.
Differentiation between inflammatory and non-inflammatory arterial lesions is essential for appropriate management.
Interpretation:
Localized renal artery vasculopathy can mimic other conditions, necessitating careful evaluation.
Limitations:
Limited literature on the presentation and outcomes of isolated renal artery vasculopathy.
Case reports may not be generalizable to all patients with similar symptoms.
Conclusion:
Accurate diagnosis is crucial to guide treatment strategies in patients with renal artery pathology.
by Sopie Secka, Ilaria Calciolari, Beatrice Maranini, Alfonso Massara, Andrea Lo Monaco, Filippo Furicchia, Zairo Ferrante, Pierfilippo Acciarri, Alessio Mario Cosacco, Aaron Thomas Fargion, Marcello Govoni
