Renal artery aneurysm at a Nigerian tertiary centre: Case report and review of literature.

• Main Authors: Rereloluwa Nicodemus Babalola, Stephen Odunayo Ikuerowo, Olufunmilade Akinfolarin Omisanjo, Abimbola Ayodeji Abolarinwa
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2020-01-01
• Series: Nigerian Journal of Medicine
• Subjects: aneurysm; angiography; artery; nephrectomy; renal; rupture
• Online Access: http://www.njmonline.org/article.asp?issn=1115-2613;year=2020;volume=29;issue=3;spage=517;epage=519;aulast=Babalola

Renal artery aneurysms are rare urologic conditions, with rupture being the most feared complication. We discuss the management of two women with this disease at our center. The first was a 58-year-old woman who presented with torrential hematuria and hemodynamic compromise. Abdominal computed tomography (CT) angiography revealed a left renal artery aneurysm, and she had emergency nephrectomy. The second was a 40-year-old woman with recurrent flank pain of 2 years duration. Serial CT scans showed a calcified renal aneurysm remaining stable over this period. She was managed nonoperatively, with serial follow-up imaging to determine if future intervention is warranted. We conclude on the need for adequate evaluation and imaging to promptly diagnose renal artery aneurysms, and that care should be individualized.