Peripartum rupture of renal artery aneurysm

OBJECTIVES: We present a case of silent rupture of the renal artery aneurysm in a pregnant woman brought to the maternity hospital in shock. The diagnosis was made during the operation and both mother and fetus were saved. Renal artery aneurysms (RAA) are rare and account for 0.01-0.5% of all aneurysms with an incidence of approximately 0.09%. METHODS: Description of the observations of the original case report of spontaneous rupture of the renal artery aneurysm with the review of the literature of the last 10 years was generated based on MEDLINE research, selecting some specific keywords. RESULTS: In the described case, we based on the literature data and the whole course confirms the similarity of the described symptoms, but it is important to note the fundamental difference in the time of gestation. We assume different hemodynamic conditions in pregnancy. The whole case is exceptional in its very rapid management and subsequent extensive surgery with maternal and neonatal survival without serious short-term complications. CONCLUSION: Rupture of the renal artery aneurysm is a rare and severe complication associated with extremely high morbidity and mortality in both mother and fetus. Thanks to the improvement and effectiveness of medical care in the 21st century, fetal mortality decreased by 70-80 % and 60-70 % for the mother. The essence of successful management of this serious, life-threatening condition is close interdisciplinary cooperation.