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Updated: Jul 20, 2026
09:02
A Large Animal Model for Acute Kidney Injury by Temporary Bilateral Renal Artery Occlusion
Published on: February 2, 2021
Ruptured renal artery aneurysm during pregnancy, a clinical dilemma
Khaled B Soliman1, Yaser Shawky, Mohamed M Abbas
1Obstetrics Gynecology Department, Maternity and Children Hospital, Buraidah, Qassim, Saudi Arabia. khaled_b_s@yahoo.com
BMC Urology
|September 2, 2006
Summary
Rupture of a renal artery aneurysm (RAA) in pregnancy is rare but dangerous. This case highlights the importance of considering RAA in pregnant women with retroperitoneal hemorrhage, especially with a solitary kidney.
Area of Science:
- Obstetrics and Gynecology
- Vascular Surgery
- Nephrology
Background:
- Renal artery aneurysm (RAA) rupture during pregnancy is a rare obstetric emergency.
- Associated with high maternal and fetal mortality rates.
- Pregnancy-induced physiological changes may increase RAA rupture risk.
Observation:
- A case of a pregnant patient with a solitary kidney experiencing total avulsion of the kidney due to RAA rupture.
- Diagnosis was established intraoperatively.
- No prior reports exist of intact renal artery aneurysms diagnosed antepartum or postpartum.
Findings:
- Successful management of a ruptured renal artery aneurysm in a pregnant patient with a solitary kidney.
- Both mother and fetus survived the critical event.
- Nephrectomy was necessary due to severe kidney damage.
Implications:
- Clinicians should consider ruptured RAA in pregnant women presenting with retroperitoneal hemorrhage.
- This case underscores the challenges of managing RAA rupture in solitary kidneys during pregnancy.
- Highlights the need for prompt diagnosis and intervention in such rare obstetric emergencies.
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