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Ruptured Renal Artery Aneurysm during Labor: a Case Report

  • Talal A. AltuwaijriEmail author
  • Magdi Ibrahim
  • Kaisor Iqbal
  • Ouhoud I. Kaddour
  • Yasser Sabr
  • Thamer Nouh
  • Abdulmajeed Altoijry
Case Report
  • 8 Downloads

Abstract

Ruptured renal artery aneurysm (RAA) during pregnancy is unusual, and its presentation is often misdiagnosed or delayed in diagnosis. With its high and preventable feto-maternal mortality, RAAs during pregnancy requires a quick and accurate diagnosis to be managed efficiently. We present a rare case of RAA during labor, managed intra-operatively after a successful caesarian section delivery. We conclude that a multidisciplinary approach with a high margin of suspicion is necessary to improve the outcomes of this occurrence.

Keywords

Renal artery aneurysm Pregnancy 

Notes

Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflict of interest.

References

  1. 1.
    Yadav S, Sharma S, Singh P and Nayak B (2015) Case report: pregnancy with a ruptured renal artery aneurysm: management concerns and endovascular management. BMJ Case Rep bcr2015211884.  https://doi.org/10.1136/bcr-2015-211884
  2. 2.
    Hellmund A, Meyer C, Fingerhut D, Müller SC, Merz WM, Gembruch U (2016) Rupture of renal artery aneurysm during late pregnancy: clinical features and diagnosis. Arch Gynecol Obstet 293:505–508.  https://doi.org/10.1007/s00404-015-3967-8 CrossRefPubMedGoogle Scholar
  3. 3.
    Hwang PF, Rice DC, Patel SV, Mukherjee D (2011) Successful management of renal artery aneurysm rupture after cesarean section. J Vasc Surg 54:519–521.  https://doi.org/10.1016/j.jvs.2010.12.041 CrossRefPubMedGoogle Scholar
  4. 4.
    Maughan E, Webster C, Konig T, Renfrew I (2015) Endovascular management of renal artery aneurysm rupture in pregnancy–a case report. Int J Surg Case Rep 12:41–43.  https://doi.org/10.1016/j.ijscr.2015.05.011 CrossRefPubMedPubMedCentralGoogle Scholar
  5. 5.
    Ravari H, Vatanchi A, Pourali L, Afarideh M, Dadgar S (2017) Renal artery aneurysm rupture during post-partum period: a case report. Electron Physician 9:5138.  https://doi.org/10.19082/5138 CrossRefPubMedPubMedCentralGoogle Scholar
  6. 6.
    Nakamura R, Koyama S, Maeda M, Kobayashi M, Tanaka Y, Kubota S, Isobe M, Shiki Y (2013) Rupture of renal artery aneurysm during the early post-partum period. J Obstet Gynaecol Res 39:1476–1479.  https://doi.org/10.1111/jog.12083 CrossRefPubMedGoogle Scholar
  7. 7.
    Ghanavati F, Lavin A (2003) Ruptured renal artery aneurysm in a pregnant woman with solitary kidney. Obstet Gynecol 23:564–566.  https://doi.org/10.1080/0144361031000156555 CrossRefGoogle Scholar
  8. 8.
    Rafi J, Khalil H (2018) Maternal morbidity and mortality associated with retroperitoneal haematomas in pregnancy. JRSM open 9:2054270417746059.  https://doi.org/10.1177/2054270417746059 CrossRefPubMedPubMedCentralGoogle Scholar

Copyright information

© Association of Surgeons of India 2019

Authors and Affiliations

  1. 1.Department of Surgery, College of MedicineKing Saud UniversityRiyadhSaudi Arabia
  2. 2.Prince Naif Healthcare Research CenterKing Saud University Medical CityRiyadhSaudi Arabia
  3. 3.Department of Obstetrics and Gynecology, College of MedicineKing Saud UniversityRiyadhSaudi Arabia

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