Subacute aortic dissection – case report

Abstract

SUMMARY. A 60-year-old man with previously known left-sided nephrolithiasis and arterial hypertension has been examined several times in an emergency room 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.