Journal of

Case Reports and Images in Surgery

 
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Case Report
 
Spontaneous rupture of an aneurysm of the renal artery
Rafik Ghrissi1, Mohamed amine Elghali1
1Department of General Surgery, Farhat Hached University Hospital, Ibn Aljazzar Street 4000 Sousse, Tunisia.

Article ID: 100007Z12RG2015
doi:10.5348/Z12-2015-7-CR-7

Address correspondence to:
Rafik Ghrissi
Department of surgery, Farhat Hached University Hospital
Ibn aljazzar Street 4000 Sousse
Tunisia

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How to cite this article:
Ghrissi R, Elghali MA. Spontaneous rupture of an aneurysm of the renal artery. J Case Rep Images Surg 2015;1:25–28.


Abstract
Introduction: Spontaneous rupture of aneurysm of the renal artery (ARA) is rare and can be serious.
Case Report: We report a case of a female aged 65 years consulting for syncope and acute pain in the right flank. She had an extreme pallor, cold extremities, mottling, tachycardia and low systolic blood pressure. She is, so, in circulatory shock state. Abdominal examination had objectified a huge right lumbar arch covered by extensive bruising plates. There is a severe anemia in the biology exam. After rapid and intensive resuscitation, an abdominal computed tomography (CT) scan revealed a large retroperitoneal hematoma without indicating the source of bleeding. She had a surgical intervention discovering a ruptured ARA associated with ischemic lesions of the kidney. We had performed, therefore, a right nephrectomy.
Conclusion: Aneurysm of the renal artery is rare. The diagnosis is based on scanner and angiography. The treatment can be surgical or endovascular.

Keywords: Diagnosis, Renal artery aneurysm, Rupture, Treatment


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Author Contributions
Rafik Ghrissi – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Mohamed Amine Elghali – Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Group: Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2015 Mohamed Amine Elghali et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.



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