title: [Rupture of renal artery aneurysm during pregnancy].
abstract: 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.
authors.affiliation: Department of Urology, Shimada Municipal Hospital.
authors.forename: Nobuyuki
authors.initials: N
authors.lastname: Nishikawa
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Onishi
authors.forename: Norio
authors.initials: N
authors.lastname: Kawase
authors.forename: Shigeki
authors.initials: S
authors.lastname: Fukuzawa
authors.forename: Mieko
authors.initials: M
authors.lastname: Miyakawa
authors.forename: Akihito
authors.initials: A
authors.lastname: Horie
authors.forename: Harumi
authors.initials: H
authors.lastname: Ikegaya
authors.forename: Hiromi
authors.initials: H
authors.lastname: Muramatsu
mesh_terms: D017542:Aneurysm, Ruptured / Q000209:etiology* / Q000601:surgery; D002585:Cesarean Section; D005260:Female; D006801:Humans; D008875:Middle Aged; D009392:Nephrectomy; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular; D012077:Renal Artery; D012422:Rupture, Spontaneous