[Rupture of renal artery aneurysm during pregnancy].
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.
Nishikawa
Nobuyuki
N
Department of Urology, Shimada Municipal Hospital.
Onishi
Hiroyuki
H
Kawase
Norio
N
Fukuzawa
Shigeki
S
Miyakawa
Mieko
M
Horie
Akihito
A
Ikegaya
Harumi
H
Muramatsu
Hiromi
H
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