[Calcified renal artery aneurism and high blood pressure. A case report and review of the literature].
Renal artery aneurysm is a rare disease in children and usually is due to fibromuscular dysplasia. Clinical symptoms are frequently high blood pressure, abdominal pain, and hematuria. Diagnosis is carried out by means of angiography. We report the case of a 13-year-old male patient who had renovascular hypertension due to calcification and aneurysm of fibromuscular dysplasia-associated renal artery. We carried out total nephrectomy to resolve high blood pressure. We suggested that presence of discreet calcification in region of renal artery in a boy with renovascular high blood pressure should guide us toward diagnosis of fibromuscular dysplasia-related renal artery aneurysm.
Servicio de Cirugía General, Hospital Pediátrico Moctezuma.
Othón
O
Romero-Terán
Leopoldo M
LM
Torres-Contreras
José R
JR
Mora-Fol
Víctor Ramón
VR
Andrade-Sepúlveda
Carlos
C
Baeza-Herrera
D000293:Adolescent; D000783:Aneurysm / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D000792:Angiography; D006801:Humans; D006978:Hypertension, Renovascular / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D008297:Male; D012077:Renal Artery / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014567:Urography; D014656:Vascular Surgical Procedures