{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,30]],"date-time":"2026-01-30T04:18:49Z","timestamp":1769746729382,"version":"3.49.0"},"reference-count":12,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2015,1,1]],"date-time":"2015-01-01T00:00:00Z","timestamp":1420070400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2015,5,6]],"date-time":"2015-05-06T00:00:00Z","timestamp":1430870400000},"content-version":"vor","delay-in-days":125,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2015,1]]},"abstract":"ABSTRACT<\/jats:title>\n \n INTRODUCTION:<\/jats:title>\n Renal artery aneurysm rupture is an extremely rare cause of acute abdominal pain and haemodynamic instability in pregnancy. Due to its rarity, the diagnosis may not be immediately considered, and therefore there is a high associated mortality rate for both mother and fetus.<\/jats:p>\n <\/jats:sec>\n \n PRESENTATION OF CASE:<\/jats:title>\n We present a case of a 41-year old primigravida who presented to the obstetricians at 22 weeks\u2019 gestation with severe abdominal pain, shock and fetal loss. A bleeding renal artery aneurysm was discovered at laparotomy and radiologically coiled with sacrifice of the left kidney. Treatment of a contralateral aneurysm by autotransplantation of the remaining kidney allowed for preservation of residual renal function.<\/jats:p>\n <\/jats:sec>\n \n DISCUSSION:<\/jats:title>\n Surgical acute abdominal presentations can be difficult to interpret in pregnant patients. Pregnancy is known to be a contributing risk factor for spontaneous rupture of renal artery aneurysms, an otherwise rare mode of aneurysm presentation. Prompt use of imaging to diagnose and treat non-obstetric causes of the acute abdomen should not be delayed because of perceived risks to the fetus. Endovascular arrest of aneurysmal haemorrhage may be more effect in the context of a gravid uterus than surgical management.<\/jats:p>\n <\/jats:sec>\n \n CONCLUSION:<\/jats:title>\n In the shocked pregnant patient with an acute abdominal presentation, visceral artery aneurysm rupture may be comparatively more common, and should be considered in the absence of other localizing symptoms. Prompt interventional radiological treatment may be lifesaving in such cases.<\/jats:p>\n <\/jats:sec>\n \n Highlights<\/jats:title>\n <\/jats:sec>","DOI":"10.1016\/j.ijscr.2015.05.011","type":"journal-article","created":{"date-parts":[[2015,5,7]],"date-time":"2015-05-07T13:04:36Z","timestamp":1431003876000},"page":"41-43","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":19,"title":["Endovascular management of renal artery aneurysm rupture in pregnancy \u2013 A case report"],"prefix":"10.1097","volume":"12","author":[{"given":"E.","family":"Maughan","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C.","family":"Webster","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T.","family":"Konig","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"I.","family":"Renfrew","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-11-20260114","doi-asserted-by":"crossref","first-page":"244","DOI":"10.1159\/000472506","article-title":"Natural history of renal artery aneurysm elucidated by repeated angiography and pathoanatomical studies","volume":"11","author":"Henriksson","year":"1984","journal-title":"Eur. Urol"},{"key":"R2-11-20260114","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1067\/mva.1987.avs0060051","article-title":"Ruptured renal artery aneurysms during pregnancy","volume":"6","author":"Cohen","year":"1987","journal-title":"J. Vasc. Surg"},{"key":"R4-11-20260114","first-page":"563","article-title":"Aneurysms of the renal artery: problems of prognosis and surgical management","volume":"84","author":"Hageman","year":"1978","journal-title":"Surgery"},{"key":"R5-11-20260114","doi-asserted-by":"crossref","first-page":"370","DOI":"10.1007\/BF02286782","article-title":"Ruptured renal artery aneurysm during pregnancy","volume":"10","author":"Yang","year":"1996","journal-title":"Ann. Vasc. Surg"},{"key":"R6-11-20260114","doi-asserted-by":"crossref","first-page":"809","DOI":"10.1016\/S0022-5347(17)54759-X","article-title":"Renal artery aneurysm rupture in pregnancy","volume":"126","author":"Love","year":"1981","journal-title":"J. Urol"},{"key":"R7-11-20260114","doi-asserted-by":"crossref","first-page":"375","DOI":"10.1016\/S0950-821X(05)80162-8","article-title":"Rupture of renal artery aneurysm during pregnancy","volume":"8","author":"Rijbroek","year":"1994","journal-title":"Eur. J. Vasc. Surg"},{"key":"R8-11-20260114","doi-asserted-by":"crossref","first-page":"188","DOI":"10.1067\/mva.2001.109767","article-title":"Ruptured renal artery aneurysm during pregnancy: successful ex situ repair and autotransplantation","volume":"33","author":"Lacroix","year":"2001","journal-title":"J. Vasc. Surg"},{"key":"R9-11-20260114","doi-asserted-by":"crossref","first-page":"1255","DOI":"10.1089\/end.2007.0017","article-title":"Low-dose computed tomography for the evaluation of flank pain in the pregnant population","volume":"21","author":"White","year":"2007","journal-title":"J. Endourol"},{"key":"R10-11-20260114","doi-asserted-by":"crossref","first-page":"e129","DOI":"10.1016\/j.jviscsurg.2010.07.005","article-title":"Visceral surgery and pregnancy","volume":"147","author":"Germain","year":"2010","journal-title":"J. Visc. Surg"},{"key":"R11-11-20260114","first-page":"8","article-title":"Embolization of ruptured renal artery aneurysms. Clin. Exp.","volume":"1-","author":"Li","year":"2015","journal-title":"Nephrol"},{"key":"R12-11-20260114","doi-asserted-by":"crossref","first-page":"348","DOI":"10.1097\/00000658-198303000-00016","article-title":"Renal artery aneurysms: natural history and prognosis","volume":"197","author":"Tham","year":"1983","journal-title":"Ann. Surg"},{"key":"R14-11-20260114","first-page":"50","article-title":"Autotransplantation of a single functioning kidney following rupture of renal artery aneurysm","volume":"107","author":"Sullivan","year":"2014","journal-title":"Irish Med. J. (IMJ"}],"container-title":["International Journal of Surgery Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S221026121500231X?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S221026121500231X?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.lww.com\/01612930-201512000-00011","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T13:31:51Z","timestamp":1768397511000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/01612930-201512000-00011"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,1]]},"references-count":12,"journal-issue":{"issue":"C","published-print":{"date-parts":[[2015]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijscr.2015.05.011","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2015,1]]}}}