Renal Artery Aneurysm at a Nigerian Tertiary Centre: Case Report and Review of Literature

Abstract

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.

Keywords: Aneurysm, angiography, artery, nephrectomy, renal, rupture