Renal artery aneurysm

Case contributed by Adam Algazali
Diagnosis certain

Presentation

The patient, with a known case of chronic parenchymal liver disease, presented with non-specific abdominal pain.

Patient Data

Age: 75 years
Gender: Female
ct

About 2.5 x 2 cm saccular aneurysm seen in the right distal renal artery at its bifurcation with thickened wall without signs of rupture. Otherwise, normal size functioning both kidneys with no back pressure changes, no stones, no perinephric or retroperitoneal collection.

Case Discussion

Imaging findings compatible with right renal artery aneurysm type 1.

Renal artery aneurysms (RAAs) are the second most common visceral aneurysm (15-22%).

Surgical management is recommended for aneurysms more than 2 cm in size, as in this case.

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