Rupture Of Renal Artery Aneurysm Research Articles

Undiagnosed Thyrotoxicosis in a Pregnant Woman with Spontaneous Renal Artery Aneurysm Rupture

Renal artery aneurysm (RAA) rupture during pregnancy is a rare event which is associated with high mortality rates for both mother and fetus. Hyperthyroidism may be present during pregnancy. Both complications are easily confused with more common conditions. We report an unusual case of a pregnant woman with undiagnosed hyperthyroidism and spontaneous RAA rupture. Thyroid storm may have been precipitated by the RAA rupture; however, the diagnosis was delayed because signs and symptoms were mistaken for those of hypovolemia. The possibility of thyrotoxicosis should be considered when mental status changes and tachycardia persist after the treatment of hypovolemic shock.

Bilateral renal artery aneurysm rupture in a man with leukemia: Report of a case

Renal artery aneurysms, once thought to be rare, are diagnosed more frequently due to the increasing use of computed tomography, angiography, and other imaging to delineate pathology. The incidence is less than 1% in the general population,(1,2) and increases to 2.5% in the hypertensive population undergoing angiography.(3) Incidence approaches 10% in autopsy series.(4) Despite increasing incidence, renal artery aneurysm rupture remains uncommon. We report the case of a man with chronic myelomonocytic leukemia who suffered bilateral renal artery aneurysm rupture over the course of 1 month.

Rupture of renal artery aneurysm due to salmonella infection in a patient with systemic lupus erythematosus

Patients with systemic lupus erythematosus (SLE) are prone to infection. Immunomodulation treatment increases the susceptibility. Salmonella infections in SLE patients may present with various clinical pictures, like pneumonia, septic arthritis, osteomyelitis, peritonitis, abscess and so on. The vascular complications commonly seen in the general population with salmonella infection are rarely encountered in SLE patients. Here we report an SLE patient who presented with spontaneous rupture of salmonella mycotic aneurysm involving the left renal artery. The 54 year-old woman had a stable premorbid condition and had 30 mg prednisolone per day. Acute abdomen and hypotensive shock developed suddenly without warning signs in advance. Image and tissue culture confirmed the diagnosis. The patient had an uneventful recovery. The rare clinical scenario is reported.

Rupture of renal artery aneurysm into the renal pelvis, clinically mimicking renal colic: diagnosis with multidetector CT

We report on a 60-year-old man, seen at the emergency department because of severe left flank pain. Clinical diagnosis was that of renal colic. Overnight he became haemodynamically unstable and haematuria became massive, so multidetector CT (MDCT) was performed. MDCT with reconstructions can represent complex imaging findings in a more straightforward way compared with transverse images. Rupture of a renal artery aneurysm into the left pelvis was seen on coronal reconstructed CT images. Nephrectomy was performed. Rupture of a renal artery aneurysm into the pelvis is unusual and death is likely if diagnosis and treatment are delayed. The initial clinical presentation may be very similar to renal colic. MDCT allows timely and correct diagnosis of this unusual condition.

Ruptured renal artery aneurysm during pregnancy, a clinical dilemma

BackgroundRupture of a renal artery aneurysm (RAA) during pregnancy is a rare event, with a high mortality rate for both mother and fetus. Increased blood flow and intra-abdominal pressure, and vascular changes secondary to increased steroid production are postulated as contributory to the increased risk of rupture during pregnancy.Case presentationWe present here a case report of total avulsion of solitary kidney secondary to rupture of RAA in a pregnant patient with congenital absence of the contralateral kidney. The main indication for nephrectomy was severely damaged kidney. Diagnosis was made during operation and both mother and fetus were saved. There are no previous reports of an intact renal artery aneurysm diagnosed either antepartum or postpartum.ConclusionThe possibility of a ruptured RAA should be considered in pregnant women with evidence of retroperitoneal hemorrhage. This case was unusual because it occurred in a solitary kidney, during the third trimester of pregnancy.

A Case of Polyarteritis Nodosa with Hemorrhagic Shock due to Rupture of Renal Artery Aneurysm Showing Positive Serum Myeloperoxidase-anti Neutrophil Cytoplasmic Antibody (MPO-ANCA)

A Case of Polyarteritis Nodosa with Hemorrhagic Shock due to Rupture of Renal Artery Aneurysm Showing Positive Serum Myeloperoxidase-anti Neutrophil Cytoplasmic Antibody (MPO-ANCA)

Renal Artery Aneurysm During the Postpartum Period

Ruptured renal artery aneurysm, especially during pregnancy, is an infrequent but a catastrophic disorder. Rupture of renal artery aneurysm during pregnancy is associated with high maternal and fetal mortality of about 80%. The incidence of renal artery aneursyms in the postpartum period is unknown. We report a case of intact saccular renal artery aneurysm diagnosed and treated successfully by excision of the aneurysm and primary repair in the postpartum period.

Rupture of renal artery aneurysms in pregnancy

No abstract available.

Rupture of renal artery aneurysm during pregnancy

A case of rupture of a renal artery aneurysm during pregnancy is described. Both patient and child survived despite a delayed diagnosis and treatment. Renal artery aneurysm is a rare disease but rupture is increased in pregnancy with a high mortality for mother and child.

Spontaneous Rupture of Renal Artery Aneurysm

Spontaneous Rupture of Renal Artery Aneurysm

Spontaneous Rupture of Renal Artery Aneurysm

Spontaneous Rupture of Renal Artery Aneurysm

Renal artery aneurysm: Selective treatment for hypertension and prevention of rupture

Thirty-nine patients with renal artery aneurysm (RAA) were seen over a period of 15 years. Among 20 women and 19 men, 31 were found to have solitary aneurysms, and eight had multiple RAA. Thirty-three patients had diastolic hypertension; nine of them proved to be of renovascular origin. Of the 18 patients who underwent RAA resection, 13 had reconstruction for treatment of hypertension, three had a solitary functional kidney, one had recurrent flank pain, and one had resection for prevention of rupture in a woman of childbearing age. Six of the 18 patients had aneurysmorrhaphy with primary repair or patching, seven had a resection with an aortorenal bypass, and five patients had six ex vivo renal reconstructions with multiple anastomoses. Nephrectomy was performed in two patients with RAA rupture at the time of childbirth and in one patient with hypertension and RAA in a poorly functioning kidney. Reconstructive procedures for documented renovascular hypertension in seven patients resulted in improvement in all cases. Blood pressure improved in only six of 10 patients operated on with hypertension and no lateralization of renovascular studies. Eighteen patients were observed for one to 16 years without surgery, and none experienced rupture. Resection of RAA is indicated to treat patients with renovascular hypertension, patients with hypertension and a solitary functional kidney, and selected patients with severe hypertension and to prevent rupture in women who may become pregnant. Other patients with asymptomatic RAA can be safely observed clinically without serial arteriograms and without fear of rupture.(ABSTRACT TRUNCATED AT 250 WORDS)

Renal artery aneurysm: Selective treatment for hypertension and prevention of rupture

Thirty-nine patients with renal artery aneurysm (RAA) were seen over a period of 15 years. Among 20 women and 19 men, 31 were found to have solitary aneurysms, and eight had multiple RAA. Thirty-three patients had diastolic hypertension; nine of them proved to be of renovascular origin. Of the 18 patients who underwent RAA resection, 13 had reconstruction for treatment of hypertension, three had a solitary functional kidney, one had recurrent flank pain, and one had resection for prevention of rupture in a woman of childbearing age. Six of the 18 patients had aneurysmorrhaphy with primary repair or patching, seven had a resection with an aortorenal bypass, and five patients had six ex vivo renal reconstructions with multiple anastomoses. Nephrectomy was performed in two patients with RAA rupture at the time of childbirth and in one patient with hypertension and RAA in a poorly functioning kidney. Reconstructive procedures for documented renovascular hypertension in seven patients resulted in improvement in all cases. Blood pressure improved in only six of 10 patients operated on with hypertension and no lateralization of renovascular studies. Eighteen patients were observed for one to 16 years without surgery, and none experienced rupture. Resection of RAA is indicated to treat patients with renovascular hypertension, patients with hypertension and a solitary functional kidney, and selected patients with severe hypertension and to prevent rupture in women who may become pregnant. Other patients with asymptomatic RAA can be safely observed clinically without serial arteriograms and without fear of rupture. Most solitary saccular aneurysms can be tangentially excised followed by primary repair, a patch, or a bypass. Multiple or complex hilar aneurysms may require ex vivo technique.