renal artery aneurysm

see also:

• splenic artery aneurysm
• Left upper quadrant abdominal pain in the ED
• the patient with acute RUQ pain in ED

• these are rare (0.1% of the population in autopsy studies), usually present in hypovolaemic shock with abdominal pain, but may also have haematuria or urinary obstruction
• rupture occurs in 3-5% with these aneurysms and has a 10% mortality, thus rupture prevalence and mortality rates are much lower than with splenic artery aneurysms
• mainly in those over 60yrs, 90% have hypertension
• most younger patients are women and two-thirds have fibromuscular dysplasia ¹⁾

• size > 2cm
• symptoms
• refractory hypertension with significant renal artery stenosis or thromboembolism
• women in childbearing age

• younger patients under 60yrs with presumed fibromuscular dysplasia ⇒ nephrology
• PH trauma induced aneurysm or calcified atherosclerotic lesions ⇒ urology