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- W2022682372 abstract "A previously healthy 34-year-old woman presented to the Accident and Emergency Department at night, complaining of the sudden onset of right sided back pain of 4 hours duration, associated with dizziness and light-headedness. The pain progressively worsened and radiated to the right lower abdomen. Usually regular menstrually, her period was one week late and she was not taking contraceptive precautions. She had two children and smoked cigarettes. On examination she was shocked, with a blood pressure of 100/60 and a pulse of 110. She was maximally tender in the right iliac fossa and had severe guarding. A urine pregnancy test was positive. A provisional diagnosis of ruptured ectopic pregnancy was made and after intravenous resuscitation, an emergency laparotomy was performed via a low transverse incision. At operation there was a massive right-sided retroperitoneal haematoma and a pregnant uterus, compatible with an eight week pregnancy. Vascular surgical help was obtained and exploration though a midline extension of the incision, showed that the cause was a ruptured saccular aneurysm of the right renal artery (Fig. 1). Haemostasis was secured with the gentle application of vascular clamps, the saccular part of the aneurysm excised and the defect in the artery repaired with a 5/0 prolene continuous suture. Upon release of the clamps, the kidney pinked up nicely. There were two postoperative problems. Firstly, the following day there was a suture line reactionary haemorrhage, requiring reexploration and a fine Fig. 1. Right kidney showing ruptured saccular aneurysm of renal artery--primary repair (box inset)." @default.
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- W2022682372 date "1994-03-01" @default.
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- W2022682372 title "Ruptured renal artery aneurysm in the first trimester of pregnancy" @default.
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- W2022682372 doi "https://doi.org/10.1016/s0950-821x(05)80469-4" @default.
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