Rupture of renal artery aneurysm during pregnancy
Nishikawa, N.; Onishi, H.; Kawase, N.; Fukuzawa, S.; Miyakawa, M.; Horie, A.; Ikegaya, H.; Muramatsu, H.
Hinyokika Kiyo. Acta Urologica Japonica 49(2): 103-106
2003
ISSN/ISBN: 0018-1994 PMID: 12696192 Document Number: 560539
We report a case of renal artery aneurysm ruptured during pregnancy. A 32-year-old woman presented at 38th week of gestation with left flank pain. We performed a cesarean delivery for fetal distress, and found retroperitoneal hemorrhage. After delivery, she entered a pre-shock state, and abdominal computed tomography and angiography showed a left renal artery aneurysm and hemorrhage from the aneurysm. Left nephrectomy was performed, and both mother and baby were rescued. Renal artery rupture during pregnancy is a fatal event, but with quick diagnosis and adequate treatment, if possible nephron sparing surgery, most patients, including babies, can be rescued.