Spontaneous renal artery dissection leading to multiple organ dysfunction syndrome and eventual death: A case report

SRAD mimics acute abdomen or hypertensive crisis, requiring high clinical suspicion in patients with renovascular history. Endovascular intervention improved proximal flow but failed to restore distal perfusion, highlighting anatomical complexity. Chronic medial degeneration (evidenced by restenosis history) may predispose to acute dissection progression. Integration of imaging, laboratory trends, and surgical consultation is critical for timely intervention.