Document Detail


Ruptured renal artery aneurysm: an uncommon cause of acute abdominal pain.
MedLine Citation:
PMID:  12865106     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Previously thought to be extremely rare, renal artery aneurysms are now being found more commonly as incidental findings during the evaluation of refractory hypertension. Symptoms related to the aneurysm are uncommon and rupture occurs infrequently, but with devastating consequences. Factors predisposing to rupture include pregnancy, polyarteritis nodosa, and lack of aneurysmal calcification. Angiography is the study of choice for diagnosing the presence of visceral aneurysm and rupture. We report a case of ruptured renal artery aneurysm that presented with sudden onset of abdominal pain but no significant findings on physical examination. The patient's size precluded the detection of a pulsatile abdominal mass or the ability to obtain an abdominal angiogram. Computed tomography scan with contrast revealed the correct diagnosis, and successful treatment was initiated.
Authors:
Jacob W Ufberg; Bryon McNeil; Loice Swisher
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of emergency medicine     Volume:  25     ISSN:  0736-4679     ISO Abbreviation:  J Emerg Med     Publication Date:  2003 Jul 
Date Detail:
Created Date:  2003-07-16     Completed Date:  2003-11-25     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8412174     Medline TA:  J Emerg Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  35-8     Citation Subset:  IM    
Affiliation:
Department of Emergency Medicine, Temple University Hospital, Jones Hall 10th Floor, 3401 N. Broad Street, Philadelphia, PA 19140, USA.
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MeSH Terms
Descriptor/Qualifier:
Abdominal Pain / etiology*
Acute Disease
Adult
Aneurysm, Ruptured / complications*,  diagnosis*,  surgery
Female
Humans
Nephrectomy
Obesity / complications
Renal Artery*
Tomography, X-Ray Computed
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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