Renal Artery Aneurysm Rupture as a Dangerous Mimic of Ovarian Cyst Rupture: A Case Report.
| Publication Type | Academic Article | 
| Authors | Kaplan L, Shah K, Lech C, Gorlick M | 
| Journal | Clin Pract Cases Emerg Med | 
| Volume | 8 | 
| Issue | 3 | 
| Pagination | 194-196 | 
| Date Published | 08/01/2024 | 
| ISSN | 2474-252X | 
| Abstract | INTRODUCTION: Renal artery aneurysm rupture is a rare but morbid diagnosis, often requiring emergency surgery and nephrectomy. Clinical presentation can mimic more common pathology in non-pregnant women such as ruptured ovarian cyst. CASE REPORT: We present a case of a woman with a prior history of ovarian cyst presenting with a ruptured renal artery aneurysm. Prompt computed tomography (CT) imaging revealed a left renal artery aneurysm rupture with hemoperitoneum and renal infarct. She underwent emergency laparotomy and nephrectomy and was ultimately discharged in good condition. CONCLUSION: While ovarian cyst rupture is the most common cause of spontaneous hemoperitoneum in non-pregnant women of childbearing age, renal artery aneurysm rupture should be considered and prompt CT imaging obtained, particularly in cases of hemodynamic instability, to ensure prompt treatment. | 
| DOI | 10.5811/cpcem.1585 | 
| PubMed ID | 39158229 | 
| PubMed Central ID | PMC11326061 |