Open Access

RESIDENT’S CORNER

Life-threatening gross hematuria: case report of renal artery aneurysm

Kelly R. Pekala¹, Oluwaseun Orikogbo², Liam C. Macleod¹, Louis D’Agostino¹

1 Department of Urology, University of Pittsburgh Medical Center Pittsburgh, Pennsylvania, USA
2 University of Pittsburgh School of Medicine Pittsburgh, Pennsylvania, USA
Address correspondence to Dr. Kelly R. Pekala, Department of Urology, 3471 Fifth Avenue, Suite 700, Pittsburgh, PA 15213 USA

Canadian Journal of Urology 2020, 27(1), 10138-10141.

Abstract

Renal artery aneurysms can present with gross hematuria and are potentially life-threatening in cases of rupture. We report a case of a young male with no prior genitourinary history who presents to an emergency department with sudden onset gross hematuria, clot retention, and right-sided flank pain. On evaluation, he was found to have a renal artery aneurysm bleeding into his collecting system and underwent renal artery embolization and rapid resolution of his hematuria. Renal vascular pathology should be considered in the differential diagnosis and timely diagnosis of this condition is imperative as surgical interventions have proven to be life-saving.

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