PMID- 16945133
OWN - NLM
STAT- MEDLINE
DCOM- 20060928
LR  - 20181113
IS  - 1471-2490 (Electronic)
IS  - 1471-2490 (Linking)
VI  - 6
DP  - 2006 Aug 31
TI  - Ruptured renal artery aneurysm during pregnancy, a clinical dilemma.
PG  - 22
AB  - BACKGROUND: Rupture of a renal artery aneurysm (RAA) during pregnancy is a rare 
      event, with a high mortality rate for both mother and fetus. Increased blood flow 
      and intra-abdominal pressure, and vascular changes secondary to increased steroid 
      production are postulated as contributory to the increased risk of rupture during 
      pregnancy. CASE PRESENTATION: We present here a case report of total avulsion of 
      solitary kidney secondary to rupture of RAA in a pregnant patient with congenital 
      absence of the contralateral kidney. The main indication for nephrectomy was 
      severely damaged kidney. Diagnosis was made during operation and both mother and 
      fetus were saved. There are no previous reports of an intact renal artery 
      aneurysm diagnosed either antepartum or postpartum. CONCLUSION: The possibility 
      of a ruptured RAA should be considered in pregnant women with evidence of 
      retroperitoneal hemorrhage. This case was unusual because it occurred in a 
      solitary kidney, during the third trimester of pregnancy.
FAU - Soliman, Khaled B
AU  - Soliman KB
AD  - Obstetrics Gynecology Department, Maternity and Children Hospital, Buraidah, 
      Qassim, Saudi Arabia. khaled_b_s@yahoo.com
FAU - Shawky, Yaser
AU  - Shawky Y
FAU - Abbas, Mohamed M
AU  - Abbas MM
FAU - Ammary, Mohamed
AU  - Ammary M
FAU - Shaaban, Allaa
AU  - Shaaban A
LA  - eng
PT  - Case Reports
PT  - Journal Article
DEP - 20060831
PL  - England
TA  - BMC Urol
JT  - BMC urology
JID - 100968571
SB  - IM
MH  - Adult
MH  - Aneurysm, Ruptured/*diagnosis/surgery
MH  - Cesarean Section
MH  - Female
MH  - Humans
MH  - Kidney Diseases/etiology/surgery
MH  - Nephrectomy
MH  - Pregnancy
MH  - Pregnancy Complications/etiology/surgery
MH  - Pregnancy Complications, Cardiovascular/*diagnosis/surgery
MH  - Pregnancy Outcome
MH  - Renal Artery/*pathology/surgery
MH  - Rupture, Spontaneous
PMC - PMC1569431
EDAT- 2006/09/02 09:00
MHDA- 2006/09/29 09:00
PMCR- 2006/08/31
CRDT- 2006/09/02 09:00
PHST- 2005/12/02 00:00 [received]
PHST- 2006/08/31 00:00 [accepted]
PHST- 2006/09/02 09:00 [pubmed]
PHST- 2006/09/29 09:00 [medline]
PHST- 2006/09/02 09:00 [entrez]
PHST- 2006/08/31 00:00 [pmc-release]
AID - 1471-2490-6-22 [pii]
AID - 10.1186/1471-2490-6-22 [doi]
PST - epublish
SO  - BMC Urol. 2006 Aug 31;6:22. doi: 10.1186/1471-2490-6-22.