Early pregnancy ruptured intraparenchymal renal artery aneurysm associated with fetal down syndrome: A case report and literature review
- Resource Type
- article
- Authors
- Ahmed Albakr; Hashim Homaida; Tarek Ibrahim; Saad Rehman; Osama Abdelfattah; Abdulla Al Naimi
- Source
- Urology Case Reports, Vol 51, Iss , Pp 102625- (2023)
- Subject
- Pregnancy
Renal artery aneurysm
Down syndrome
Angioembolization
Diseases of the genitourinary system. Urology
RC870-923
- Language
- English
- ISSN
- 2214-4420
Pregnancy-associated spontaneous rupture of renal artery aneurysm (PSRRAA) is a rare emergency that may lead to deleterious maternal and fetal outcomes. We present the first report of PSRRAA during early pregnancy and to be associated with trisomy-21 in a six-week pregnant lady. Intraabdominal bleeding suspicion confirmed by contrast-enhanced computed tomography showing aneurysmal rupture which was managed by percutaneous angioembolization. PSRRAA is a challenging diagnosis and a life-threatening emergency. A high index of suspicion to diagnose PSRRAA even in early pregnancy is needed. Management of PSRRAA has a high risk of fetal radiation exposure that may lead to congenital anomalies.