Abstract
Aortic dissection can occur in the hypertensive individual, but its presentation as an isolated autonephrectomy is extremely rare. We, here, present a rare case of hypertension, probably secondary to renal dysgenesis, in a 20-year-old female. She presented with persistent headaches and episodes of hypertensive urgency. Later, we found, on computed tomography, a localized dissection flap in the descending abdominal aorta around the renal artery level. After a diagnostic workup, we reached the final diagnosis of renal dysgenesis with isolated abdominal aortic dissection type B. Isolated abdominal type B aortic dissection can be managed conservatively; however, the patient needs to be followed up regularly so that timely intervention can be done if the need arises.
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