Marwah Sanjay, Singla Sham, Kalra Rajnish, Marwah Nisha, Singh Shashi Pratap
Department of Surgery, Pt BDS Post Graduate Institute of Medical Sciences, Rohtak-124001, Haryana, India.
Cases J. 2009 Dec 24;2:9398. doi: 10.1186/1757-1626-2-9398.
The dissecting aneurysm of renal artery is a form of renal artery occlusive disease that is infrequently recognized in the literature. However, when encountered, it is of great clinical significance because symptoms related to aneurysm are rarely seen and there is risk of its rupture.
The present case was a 30 year old Indian male, who presented with recurrent episodes of pain mimicking renal colic, which turned out to be a ruptured dissecting aneurysm of renal artery on exploration. The patient could not be salvaged due to delay in the diagnosis.
This report highlights that rupture of renal artery aneurysm is a rare but potentially lethal clinical entity and should be considered as one of the differential diagnosis in patients with severe and persistent renal colicky type of pain in the absence of obvious findings on routine investigations.
肾动脉夹层动脉瘤是肾动脉闭塞性疾病的一种形式，在文献中很少被认识到。然而，一旦遇到，它具有重大的临床意义，因为与动脉瘤相关的症状很少见，且有破裂风险。
本病例为一名30岁的印度男性，表现为反复发作的类似肾绞痛的疼痛，经探查发现是肾动脉夹层动脉瘤破裂。由于诊断延误，患者未能获救。
本报告强调，肾动脉动脉瘤破裂是一种罕见但可能致命的临床实体，在常规检查无明显发现的情况下，对于严重且持续的肾绞痛样疼痛患者，应将其视为鉴别诊断之一。
