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Journal of Case Reports
Spontaneous Rupture of Renal Artery Aneurysm into the Renal Pelvis: An Unusual Cause of Gross Hematuria and Urinary Retention

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Hmida Wissem, Bouassida Khaireddine, Jaidane Mehdi, Ben Soba Nebil, Mosbah Ali Tahar
From the Department of Urology, Hospital of Sahloul, Sousse, Tunisia.
Corresponding Author:
Dr Bouassida Khaireddine
Email: khayri14@hotmail.com
Received: 19-MAY-2013 Accepted: 21-MAY-2013 Published Online: 05-JUN-2013
DOI: http://dx.doi.org/10.17659/01.2013.0039
Abstract
Aneurysm of the renal artery is a rare condition with relatively uncommon symptoms.  A 58-year-old male patient presented to the emergency department with urinary retention caused by massive hematuria. He was hemodynamically stable, and Ultrasound examination of the abdomen showed a massive clot of blood in the bladder with no signs of tumor.  Multi-detector CT images in the arterial phases showed bleeding in the left renal pelvis and an intra-renal lower pole aneurysm. The CT findings were consistent with a rupture of the aneurysm into the left renal pelvis. The aneurysm was embolized with a coil.  Immediate post-interventional check-up injections revealed no sign of renal aneurysm. One month later, clinical follow up revealed no hematuria. 
Keywords : Aneurysm, Urinary Retention, Aneurysm Ruptured, Embolization, Hematuria, Neoplasms.
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