Successful management of renal artery aneurysm rupture after cesarean section

• Published in: Journal of vascular surgery Vol. 54; no. 2; pp. 519 - 521
• Main Authors: Hwang, Paul F., MD, Rice, Dana C., MD, Patel, Sunil V., MD, Mukherjee, Dipankar, MD
• Format: Journal Article
• Language: English
• Published: New York, NY Mosby, Inc 01.08.2011; Elsevier
• Subjects: Aneurysm - complications; Aneurysm - diagnostic imaging; Aneurysm - surgery; Aneurysm - therapy; Aneurysm, Ruptured - diagnostic imaging; Aneurysm, Ruptured - etiology; Aneurysm, Ruptured - therapy; Biological and medical sciences; Cesarean Section - adverse effects; Embolization, Therapeutic; Female; Humans; Medical sciences; Nephrectomy; Nephrology. Urinary tract diseases; Nephropathies. Renovascular diseases. Renal failure; Pregnancy; Renal Artery - diagnostic imaging; Renal Artery - surgery; Renovascular diseases; Surgery; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Tomography, X-Ray Computed; Treatment Outcome; Vascular surgery: aorta, extremities, vena cava. Surgery of the lymphatic vessels; Young Adult; Arterial disease; Vascular disease; Kidney disease; Urinary system disease; Clinical management; Surgery; Rupture; Cardiovascular disease; Renal artery aneurysm
• ISSN: 0741-5214; 1097-6809
• DOI: 10.1016/j.jvs.2010.12.041

Renal artery aneurysm is a rare entity, and patients are usually asymptomatic at the time of presentation. These aneurysms are rare among pregnant patients, especially after childbirth, and usually form due to changes in vascular wall integrity secondary to hormonal and hemodynamic changes. Here we describe a patient with an intraparenchymal renal artery aneurysm that ruptured after a cesarean section but was immediately identified and managed appropriately, allowing for a successful outcome.