Authors: Juhair Al Joha , Maliha Khalid khan , Raed Madkhali , Roua Ali

Abstract

Background: Renal artery aneurysm (RAA) during the postpartum phase is an uncommon occurrence that has a high death rate for both the mother and the fetus. It often develops as a result of alterations in the integrity of the vascular wall brought on by hormonal and hemodynamic shifts. RAA rupture during the postpartum phase is extremely difficult to diagnose early.

Case presentation: In our case a 27-year old female pregnant about 37 weeks and 5 days. She was admitted to our hospital with swollen face, puffy eyes, oedema on the feet, hypertension, and tachycardia. She was decided for labor, day 1 post-vaginal delivery the vitals showed tachycardia, hypotension and she had severe dizziness, pale look, severe pain in the right side of abdomen, and right flank. The computed tomography scans showed a rare case of post-delivery RAA. She was controlled with right sided nephrectomy.

Conclusion: RAAs in postpartum patients are rare and often misdiagnosed, leading to high maternal and
fetal mortality. Early diagnosis and immediate intervention are crucial for better outcomes, with nephrectomy being the most secure method for controlling such cases.

Keywords: Renal artery aneurysm, post-delivery, pregnancy, nephrectomy.