A Rare Case of Fibromuscular Dysplasia with Postpartum Renal Artery Rupture in a Non-Hypertensive Woman

Eun-Eun Kim; Yoodong Won; Yeon-Hee Kim; Inhye Shin; Young Ok Kim

doi:https://doi.org/10.3904/kjm.2021.96.5.438

A Rare Case of Fibromuscular Dysplasia with Postpartum Renal Artery Rupture in a Non-Hypertensive Woman

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고혈압 과거력이 없는 여성에서 출산 후 신동맥 파열로 발견된 양측 신동맥 섬유근이형성증 1예

Type: Academic journal

Author: Eun-Eun Kim (가톨릭대학교 의과대학 내과학교실) Yoodong Won (가톨릭대학교 의과대학 방사선과학교실) Yeon-Hee Kim (가톨릭대학교 의과대학 산부인과학교실) Inhye Shin (가톨릭대학교 의과대학 산부인과학교실) Young Ok Kim (가톨릭대학교 의과대학 내과학교실)

Journal: The Korean Association Of Internal Medicine 대한내과학회지 대한내과학회지 제96권 제5호 KCI Candidated Journals

Published: 2021.10

Pages: 438 - 442 (5page)

DOI: https://doi.org/10.3904/kjm.2021.96.5.438

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A Rare Case of Fibromuscular Dysplasia with Postpartum Renal Artery Rupture in a Non-Hypertensive Woman

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Fibromuscular dysplasia (FMD) of the renal artery is a non-atherosclerotic, non-inflammatory vascular disease that causes stenosis, aneurysm, dissection, and occlusion of the vessel. We report a rare case of a postpartum FMD patient who presented with spontaneous acute perirenal hematoma due to renal artery aneurysm rupture after cesarean section. The 40-year-old patient presented with sudden onset of abdominal pain 2 days after an elective cesarean section performed at full gestational term. A computed tomography scan of the abdomen revealed perirenal hematomas with signs of FMD in both renal arteries. The bleeding was successfully controlled by transcatheter arterial embolization. Short-term continuous renal replacement therapy was performed until her renal function recovered. FMD of the renal artery is rare in pregnant patients. Additionally, aneurysm rupture can be life threatening and requires immediate medical attention and prompt management.

#Fibromuscular dysplasia #Postpartum hemorrhage #Renal artery

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References (6)

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Narula N / 2018 / Fibromuscular dysplasia : contemporary concepts and future directions / Prog Cardiovasc Dis 60:580~585

Mousa AY / 2013 / Renal fibromuscular dysplasia / Semin Vasc Surg 26:213~218

Nakamura R / 2013 / Rupture of renal artery aneurysm during the early post-partum period / J Obstet Gynaecol Res 39:1476~1479

Rafi J / 2010 / Retroperitoneal haematomas in obstetrics : literature review / Arch Gynecol Obstet 281:435~441

Augustin G / 2019 / Ruptured renal artery aneurysm in pregnancy and puerperium : literature review of 53 cases / Arch Gynecol Obstet 299:923~931

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