DOI: 10.36347/sjmcr.2023.v11i11.025

Pages: 2015-2018

Introduction: Renal artery aneurysms are rare vascular anomalies and even more exceptional is they are located in both renal arteries in this case. The literature reports an approximate occurrence of 0.01 to 0.09 in the general population. Its appearance predominates in the female gender and the most common location is in the right renal artery. The peak age of occurrence is between 40 and 60 years. Its physiopathology is generally caused by inflammatory processes and muscular fibrodysplasias; however, when they are intraparenchymal, they are associated with congenital collagenopathies or polytraumatisms. Clinical case: 74-year-old male patient with a personal history of Parkinson's disease, adrenocortical adenoma and diverticulosis. During the study of his basic pathology, a simple and contrast angiography of the abdomen was performed, after the verification of his renal function, which was within normal ranges (urea 44.4 mg/dl, creatinine 1.04 mg/dl). The presence of images suggestive of aneurysms in the left renal arteries was reported as an incidental finding, therefore he was referred to the Department of Angiology and Vascular Surgery. The clinical case was discussed by the medical staff of the Department of Angiology and Vascular Surgery, concluding that the rare bilateral renal artery aneurysm pathology does not meet criteria for open or endovascular surgery, therefore it is indicated to continue regular monitoring to determine possible growth and intervention in case of risk of rupture. Conclusions: With the development of imaging techniques, the incidental finding of renal artery aneurysm is going to be more and more frequent. The presence of symptoms is also fundamental in making decisions regarding the need for surgery. In asymptomatic patients, non-aggressive treatment is recommended; however, the clinical evaluation of each patient should be individualized.