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Renal artery aneurysm mimicking a solid parenchymal lesion

Journal of Ultrasound volume 16, pages 131–134 (2013)Cite this article

Abstract

A 40-year-old woman was referred to our department for further investigation of a renal mass identified at an ultrasound (US) examination carried out in a private clinic because of abdominal pain. The mass was oval and hypoechoic, measured about 20 mm in diameter and was located near the left renal sinus; color Doppler showed peripheral blood flow. US examination carried out in our department using different equipment confirmed the presence of the mass but revealed intralesional blood flow suggesting aneurysm. This diagnosis was confirmed at subsequent computed tomography (CT) scanning and magnetic resonance imaging (MRI). The patient refused to undergo surgery and she is currently being monitored and has suffered no sequelae.

Riassunto

Una donna di 40 anni giungeva alla nostra osservazione per la rivalutazione di una formazione renale identificata ad un esame ecografico effettuato esternamente per dolore addominale. Tale formazione, ovalare ipoecogena di circa 20 mm, era localizzata a livello del seno renale di sinistra e mostrava al color Doppler segnale vascolare perifericamente. Il controllo ecografico da noi eseguito con apparecchiatura più performante confermava la presenza della formazione evidenziando tuttavia segnale vascolare al suo interno e ponendo il sospetto di aneurisma, confermato poi ai successivi esami TC ed RM. La paziente rifiutava di sottoporsi ad intervento chirurgico terapeutico ed è tuttora in follow-up senza sequele.

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Conflict of interest

V. Vitale, M. Di Serafino, and G. Vallone declare that they have no conflict of interest.

Informed consent

All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2005 (5). Informed consent was obtained from all patients for being included in the study.

Human and animal studies

This article does not contain any studies with human or animal subjects performed by the any of the authors.

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Affiliations

  1. Department of Radiology, Ospedale Universitario Federico II, Naples, Italy

    V. Vitale

  2. Department of Radiology, Presidio Ospedaliero Santa Maria alla Gruccia, AUSL 8, Arezzo, Italy

    M. Di Serafino

  3. Division of Pediatric Diagnostic Medicine, Department of Biomorphological and Functional Sciences, Ospedale Universitario Federico II, Naples, Italy

    G. Vallone

Authors
  1. V. Vitale
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  2. M. Di Serafino
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  3. G. Vallone
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Corresponding author

Correspondence to G. Vallone.

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Vitale, V., Di Serafino, M. & Vallone, G. Renal artery aneurysm mimicking a solid parenchymal lesion. J Ultrasound 16, 131–134 (2013). https://doi.org/10.1007/s40477-013-0021-1

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  • DOI: https://doi.org/10.1007/s40477-013-0021-1

Keywords

  • Aneurysm
  • Color Doppler
  • Renal mass
  • Ultrasound