Open Access

RESIDENT’S CORNER

Multiple intra-renal artery aneurysms causing renal obstruction managed with radical nephrectomy

Jason Frankel, Gregory Murphy, Peter Haddock, Max Jackson, Anoop Meraney

Urology Division, Hartford Healthcare Medical Group, Hartford, Connecticut, USA
Address correspondence to Dr. Peter Haddock, Urology Division, Hartford Healthcare Medical Group, 85 Seymour Street, Suite 416, Hartford, CT 06106 USA

Canadian Journal of Urology 2015, 22(5), 8006-8008.

Abstract

A 46-year-old male with a history of hypertension presented with symptoms of persistent abdominal fullness and a non-pulsatile abdominal mass. Subsequent computed tomographic angiography studies revealed the presence multiple large renal aneurysms from the segmental branches of the renal artery and an enlarged hydronephrotic kidney with minimal parenchyma. The renal deterioration appeared to be as a result of an obstruction caused by the large intra-renal aneurysms at the level of the renal calyces. Since the right kidney had no function, an open radical nephrectomy was subsequently performed without complications at 3 months follow up.

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