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Pediatric Radiology
Published in: Pediatric Radiology 3/2004

01-03-2004 | Case Report

A large unilateral renal artery aneurysm in a young child

Authors: Pierre Robitaille, Hélène Lord, Josée Dubois, Françoise Rypens, Luc L. Oligny

Published in: Pediatric Radiology | Issue 3/2004

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Abstract

The case of a 13-month-old boy with fibromuscular dysplasia (FMD) presenting with a large saccular aneurysm of the left renal artery and renovascular hypertension is reported. Renal and intrarenal arteries showed numerous small aneurysms alternating with stenoses. All arterial lesions were localized to the left kidney. After left nephrectomy, the patient’s blood pressure normalized. Histopathologic examination of the arteries disclosed changes typical of medial fibroplasias, the most frequently described form of FMD in children. This diagnosis is rewarding as it represents a surgically curable cause of severe hypertension.
Literature
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O’Neill JA Jr (1994) Renovascular hypertension. Semin Pediatr Surg 2:114–123
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Park SH, Chi TG, Choi Y (1990) Primary intimal fibroplasia with multiple aneurysms of renal artery in childhood. Child Nephrol Urol 10:51–55
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Sarkar R, Coran AG, Cilley RE, et al (1991) Arterial aneurysms in children: clinicopathologic classification. J Vasc Surg 13:47–57CrossRefPubMed
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Checinski P, Henschke J, Pawlak B, et al (2000) Multiple aneurysms in childhood. Case report and review of the literature. Eur J Vasc Endovasc Surg 20:108–110CrossRefPubMed
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Halpern V, O’Connor J, Murello M, et al (1997) Multiple idiopathic arterial aneurysms in children. A case report and review of the literature. J Vasc Surg 25:949–951PubMed
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Kuwabara N, Kuwahara T, Takahashi K, et al (2001) Common iliac artery aneurysm due to fibromuscular dysplasia in infants. A case report. Eur J Pediatr Surg 11:69–71CrossRefPubMed
Metadata
Title
A large unilateral renal artery aneurysm in a young child
Authors
Pierre Robitaille
Hélène Lord
Josée Dubois
Françoise Rypens
Luc L. Oligny
Publication date
01-03-2004
Publisher
Springer-Verlag
Published in
Pediatric Radiology / Issue 3/2004
Print ISSN: 0301-0449
Electronic ISSN: 1432-1998
DOI
https://doi.org/10.1007/s00247-003-1019-1

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