Spontaneous Rupture of Renal Artery Aneurysm in a Patient with Untreated Hypertension.
- Author:
Ji Il KIM
1
;
Hak Jun SEO
;
Ok Ran SHIN
;
Sun Wha SONG
;
Eun Mi WHANG
;
Kang JU
;
Young Soo KIM
;
Sun Ae YOUN
;
Young Ok KIM
Author Information
1. Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea. cmckyo@yahoo.co.kr
- Publication Type:Case Report
- Keywords:
Renal artery aneurysm;
Spontaneous rupture;
Hypertension
- MeSH:
Abdomen;
Abdominal Pain;
Adult;
Aneurysm*;
Atherosclerosis;
Emergencies;
Female;
Fibromuscular Dysplasia;
Hematoma;
Humans;
Hyperplasia;
Hypertension*;
Laparotomy;
Mortality;
Pregnancy;
Renal Artery*;
Rupture, Spontaneous*;
Ultrasonography;
Vasculitis
- From:Korean Journal of Nephrology
2003;22(6):763-766
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Spontaneous rupture of renal artery aneurysm is a rare, but life threatening complication with high mortality. The etiology of non-traumatic renal artery aneurysm is fibromuscular dysplasia, atherosclerosis, vasculitis, and pregnancy. We here report a case of spontaneous rupture of renal artery aneurysm in a patient with untreated hypertension. A 39-year-old non-pregnant woman complained of sudden onset of right flank and lower quadrant abdominal pain. Ultrasonography showed large fluid collection in right lower abdomen. Emergency laparotomy demonstrated huge retroperitoneal hematoma due to spontaneous rupture of right renal artery aneurysm. Microscopic examination of the aneurysmal wall revealed intimal hyperplasia without atherosclerotic change.
