Segmental low-density area on contrast-enhanced CT is a possible clue to diagnosing branch artery fibromuscular dysplasia.
Yuko KiyoharaRei HiroseHiroshi KawamataKazuki NakaiAkane HiratakaJun SaitoYuya TsurutaniPublished in: Endocrinology, diabetes & metabolism case reports (2023)
Although branch artery fibromuscular dysplasia (FMD) is sometimes difficult to diagnose, it should be considered in patients with high-renin, high-aldosterone hypertension. Branch artery FMD can present with a low-density area of the kidney on contrast-enhanced computed tomography, as shown in this case. Percutaneous transluminal angioplasty (PTA) can be an appropriate treatment for branch artery FMD, especially in young female patients. PTA may immediately improve hypertension and hypokalemia without the need for medications.
Keyphrases
- contrast enhanced
- computed tomography
- diffusion weighted
- magnetic resonance imaging
- magnetic resonance
- dual energy
- blood pressure
- diffusion weighted imaging
- end stage renal disease
- positron emission tomography
- ejection fraction
- newly diagnosed
- chronic kidney disease
- image quality
- peritoneal dialysis
- minimally invasive
- arterial hypertension