Multiple intra-renal artery aneurysms causing renal obstruction managed with radical nephrectomy

Area of Science:

• Vascular Surgery
• Nephrology
• Radiology

Background:

• Hypertension is a common condition that can affect various organs.
• Renal artery aneurysms are rare vascular abnormalities.
• Intra-renal aneurysms can lead to significant renal complications.

Observation:

• A 46-year-old male with hypertension presented with abdominal fullness and a palpable mass.
• Computed tomographic angiography revealed multiple large intra-renal aneurysms.
• The aneurysms caused obstruction of the renal calyces, leading to hydronephrosis and minimal parenchyma.

Findings:

• The renal deterioration was attributed to obstruction by large intra-renal aneurysms.
• The right kidney was non-functional due to the aneurysm-induced damage.
• An open radical nephrectomy was performed successfully.

Implications:

• This case highlights a rare cause of kidney deterioration and obstruction.
• Early diagnosis of intra-renal aneurysms is crucial for effective management.
• Radical nephrectomy can be a viable treatment option for non-functioning kidneys with complex aneurysmal disease.