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Updated: May 23, 2026

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Murine Bilateral Renal Lymphadenectomy
Published on: December 30, 2025
Bilateral asymptomatic giant renal artery aneurysm
Hippokratia
|March 22, 2012
Summary
Renal artery aneurysms are rare, but large ones pose rupture risks. This case details a 12 cm renal artery aneurysm in a 70-year-old asymptomatic patient, the largest reported.
Area of Science:
- Vascular Surgery
- Nephrology
- Radiology
Background:
- Renal artery aneurysms (RAAs) are uncommon vascular lesions.
- Hypertension is present in approximately 20% of patients with RAAs.
- Aneurysm diameter correlates with complication rates, particularly rupture risk.
Observation:
- This report describes an exceptionally large RAA measuring 12 cm in diameter.
- The patient was asymptomatic, with no history of hypertension, until age seventy.
- The aneurysm was located in one kidney.
Findings:
- The 12 cm RAA represents the largest diameter RAA documented in medical literature.
- The absence of symptoms and hypertension in this large aneurysm challenges typical clinical presentations.
- This case highlights the potential for asymptomatic presentation of large RAAs.
Implications:
- This case expands the understanding of RAA presentation and natural history.
- It suggests that large RAAs may remain asymptomatic for extended periods.
- Further research is needed to refine risk stratification and management strategies for RAAs of all sizes.
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