Rupture of a saccular renal artery aneurysm: report of a case.
This paper reports a patient who was successfully treated for a ruptured renal artery aneurysm. A 64-year-old man presented with sudden onset of strong abdominal and lumbar pain, and a 2-week history of abdominal discomfort. Abdominal computed tomography and visceral arteriography revealed a retroperitoneal hematoma and a 7.5-cm saccular renal aneurysm with active bleeding. A laparotomy was indicated, and a nephrectomy was performed due to the persistent bleeding and refractory hypotension presented during surgery. The postoperative course was uneventful, and the patient was discharged with a normal renal function on the tenth day. This paper presents the successful management of a ruptured renal aneurysm with a review of the literature, and the management possibilities of such patients is also discussed.
Vascular Surgery Department, Fundação Faculdade Federal de Ciências Médicas de Porto Alegre (FFFCMPA), Irmandade Santa Casa de Misericórdia de Porto Alegre (ISCMPA), Rua Coronel Bordini 675/303, CEP: 90440-001, RS, Brazil.
Telmo Pedro
TP
Bonamigo
Nilon
N
Erling
Felipe Puricelli
FP
Faccini
D017542:Aneurysm, Ruptured / Q000000981:diagnostic imaging / Q000601:surgery*; D004108:Dilatation, Pathologic; D006801:Humans; D007679:Kidney Medulla / Q000473:pathology; D008297:Male; D008875:Middle Aged; D009336:Necrosis; D009392:Nephrectomy; D012077:Renal Artery / Q000000981:diagnostic imaging / Q000473:pathology; D014057:Tomography, X-Ray Computed