Early pregnancy ruptured intraparenchymal renal artery aneurysm associated with fetal down syndrome: A case report and literature review.

Authors :: Albakr A
Homaida H
Ibrahim T
Rehman S
Abdelfattah O
Al Naimi A
Source :: Urology case reports [Urol Case Rep] 2023 Nov 28; Vol. 51, pp. 102625. Date of Electronic Publication: 2023 Nov 28 (Print Publication: 2023).
Publication Year :: 2023
Abstract: 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.<br /> (© 2023 The Authors.)

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