Preferred Language
Articles
/
iqjmc-1740
Rupture of renal artery aneurysm during cesarean section: a case report: Ruture of renal artery aneurysm r cesarean seection
...Show More Authors

 

Introduction:

Renal artery aneurysm (RAA) occurs to focal dilatation of artery secondary to weakness of the arterial intima and media. RAA is a rare clinical entity with an incidence of 0.01 – 1%.1

Rupture RAA during pregnancy is extremely rare event. The obstetric and urologic literatures are deficient in this regard. Diagnosis of rupture RAA during pregnancy is very difficult i.e. no pathognomonic presentation. When rupture occurs during pregnancy the clinical presentation is confused with those more common conditions e.g. placenta abruption or rupture uterus.

Most of the cases are discovered incidentally, even it is only diagnosed after autopsy.

Case presentation:

A fifth cesarean section was done for 30 years oldwomen presented with placenta previa. She was gravida 6 para 5. Cesarean section was an elective one. She gave a live birth male weighing 2.4 kg.  Hysterectomy was carried out after sever bleeding during operation. Ten units of blood were given in addition to other management steps. Urologists and general surgeon were consulted. The patient was dead. Exploration was done and revealed a rupture of left renal artery aneurysm.  

Discussion:

It was the 5th cesarean section for women. Literature documented that previous history of cesarean sections is the primary risk factor for developing placenta previa.1 Other risk factors are gestation with male fetuses and multiparity.3 The mentioned risk factors were characters of the reported case. It was stressed that multiple cesarean sections affect adversely the health of women.2 It was the 5thcesarean section.

RAA is an unusual diagnosis. Hemodynamic changes during pregnancy that is increased blood volume and cardiac output, raised intrabdominal pressure and hormonal alterations, affect the arterial wall and increased the risk of rupture RAA, more so in the 3rdtrimester.3 The reported case was gravida 6 which might enhanced the formation and rupture of RAA. It was reported that women with RAA and unusual number of women were multiparous.4

Owing to the pregnancy state, RAA was missed as cesarean section was planned for delivery of acase of placenta previa. The final diagnosis made only after exploration. It is the same as mentioned in literature.5

In this case, RAA was on the left side. Literature reported that RAA was often on the left side.4 Since 1970, published reports have not shown a left sided predominance of RAA.6

There are no previous reports of diagnosis of the intact RAA during pregnancy. This report might be the first one in Iraqi literature of rupture of RAA during pregnancy.

Conclusion: The possibility of a ruptured RAA should be considered in pregnant women with evidence of retroperitoneal hemorrhage. Imaging facilities should be available in theater rooms to be used immediately.  

References:

1- Oylele Y, Smulian JC. Placenta previa, placenta accrete and vasa previa. Obstet Gynecol 2006; 107: 927-941.
2- Seidman DS, Pazi I, Nadu A, Dollberd S, Stevenson DK, Gele R et al. Are multiple cesarean sections safe? Eur J Obstet Gynecol Reported Biol 1994; 57: 7-12
3- Porcaro AB, Migliorini F, Pianon R, Antoniothi SZ, Furlan F, De Biase V et al. Intraparenchymal renal artery aneurysms. Case report with review and update of literature. Int Urol Nephrol 2004; 36: 409-416.
4- Soliman KB, Shawky A, Abbas MM. Ammory M, Shoaban A. Rupture renal artery aneurysm during pregnancy. A clinical dilemma. BMU Urol 2006; 6: 22
5- Henke PK, Cardnean D, Welling III TH, Upchurch GR, Wakefield TH, Jacob L et al. Renal artery aneurysm: a 35-year clinical experience with 252 aneurysms in 168 patients. Annal of Surgery 2001; 214: 454-463.
6- Yang JC, Hye RJ. Ruptured renal artery aneurysm during the pregnancy. Ann Vasc Surg 1996; 10: 370-372.

 

2

 

Crossref
View Publication Preview PDF
Quick Preview PDF
Publication Date
Fri Sep 15 2023
Journal Name
Al-academy
Modern trends in the architecture of mosques in Jordan
...Show More Authors

This study analyzes the features of historical and modern mosques in Jordan compared to that of Amman. The architecture of the Jordanian mosques reflects the images of great ancient empires and kingdoms of Europe and the Middle East. This has happened due to the geographical position of the country. From the studies of historians and archaeologists, comparative analysis of planning solutions, the use of plastics and decor of the facades of mosques, and the literature on the construction methods of the mosques allow us to conclude that age-old traditions have been preserved through the establishment of mosques in both the countries. Besides, the emergence of new features in constructing mosques has been observed. We find the influence of

... Show More
View Publication Preview PDF
Crossref
Publication Date
Mon Feb 04 2019
Journal Name
Journal Of The College Of Education For Women
Harold pinter and Iraq: An analysis of war(2003)
...Show More Authors

0

View Publication Preview PDF
Publication Date
Mon Jul 01 2013
Journal Name
Political Sciences Journal
The regional attitude towards the change in the Arab region: turkey as a case study
...Show More Authors

This research deals with the nature of the Turkish attitude towards the events of the Arab Spring which the Arab region witnessed recently, as this attitude is characterized by hesitation and utter confusion about those events at its beginning. However, the development of events and the consequent repercussions led the Turkish decision makers of the foreign policy to reconsider their attitude towards those events for political, economic, cultural and social motives.

View Publication Preview PDF
Crossref
Publication Date
Mon Oct 02 2023
Journal Name
Journal Of Engineering
Transport Assessment Using Bayesian Method to Determine Ride-Hailing in Kula Lumpur: A Case Study
...Show More Authors

This research was designed to investigate the factors affecting the frequency of use of ride-hailing in a fast-growing metropolitan region in Southeast Asia, Kuala Lumpur. An intercept survey was used to conduct this study in three potential locations that were acknowledged by one of the most famous ride-hailing companies in Kuala Lumpur. This study used non-parametric and machine learning techniques to analyze the data, including the Pearson chi-square test and Bayesian Network. From 38 statements (input variables), the Pearson chi-square test identified 14 variables as the most important. These variables were used as predictors in developing a BN model that predicts the probability of weekly usage frequency of ride-hai

... Show More
View Publication Preview PDF
Crossref
Publication Date
Mon Oct 08 2018
Journal Name
Bulletin Of The Iraq Natural History Museum (p-issn: 1017-8678 , E-issn: 2311-9799)
TOTAL ORGANIC CARBON (TOC) PREDICTION FROM RESISTIVITY AND POROSITY LOGS: A CASE STUDY FROM IRAQ
...Show More Authors

     The open hole well log data (Resistivity, Sonic, and Gamma Ray) of well X in Euphrates subzone within the Mesopotamian basin are applied to detect the total organic carbon (TOC) of Zubair Formation in the south part of Iraq. The mathematical interpretation of the logs parameters helped in detecting the TOC and source rock productivity. As well, the quantitative interpretation of the logs data leads to assigning to the organic content and source rock intervals identification. The reactions of logs in relation to the increasing of TOC can be detected through logs parameters. By this way, the TOC can be predicted with an increase in gamma-ray, sonic, neutron, and resistivity, as well as a decrease in the density log

... Show More
View Publication Preview PDF
Scopus (10)
Crossref (4)
Scopus Crossref
Publication Date
Thu Feb 27 2020
Journal Name
Iraqi Journal Of Science
Topsoil Magnetic Susceptibility and Heavy Metal Contamination: A Case Study in Al-Muthanna Province, Iraq
...Show More Authors

     Due to rapid urbanization and industrialization that occurred in Al- Muthanna province in southeastern Iraq during the last decade, pollutants such as heavy metals were emitted into the environment and became a serious threat to human health. Environmental pollution could be caused by different types of pollutants, which come from different sources.

     This study aims to assess the environmental magnetism efficiency for heavy metal pollution assessment using the magnetic susceptibility technique which became a more rapid and cost-effective compared to conventional methods. Increasing heavy metal contents in soils causes an increase in the magnetic mineral concentration. The study are

... Show More
View Publication Preview PDF
Scopus (4)
Crossref (1)
Scopus Crossref
Publication Date
Fri Dec 01 2017
Journal Name
Journal Of Economics And Administrative Sciences
المستخلص ان استخدام الموارد الاقتصادية التي يتمتع العراق بها ولاسيما الموارد النفطية ، التي تشكل المصدر الاساس للعوائد المالية ، من شأنه ان يزيد الفائض الاقتصادي خارج القطاع النفطي من خلال تعبئة وتحشيد القوى العاملة وتحويلها الى أصول رأسمالية ، كان
...Show More Authors

     The use of economic resources enjoyed Iraq by especially oil resources, which constitute the main source of financial revenue, would the economic surplus outside the oil sector increases by mobilizing and rallying the labor power and turn it into an access capitalism, , was the cause of "the inaction of the productive sectors of the economy, made the investment planning process and even investment in human capital was not rationality with the increasing number of unemployed, particularly certificates and specializations high campaign, direction of the government towards market liberalism after 2003 through the, was focused not follow a clear economic policies, and the absence of planning, and the absence

... Show More
View Publication Preview PDF
Crossref
Publication Date
Tue Jan 06 2004
Journal Name
Iraqi Journal Of Science
Cluster and factor analyses R and Q mode technique of geochemical and petrological data of the Shalair Metamorphic Rock Group, Shalair Valley area, Northeastern Iraq
...Show More Authors

Publication Date
Tue May 01 2018
Journal Name
Journal Of Physics: Conference Series
Performance of Case-Based Reasoning Retrieval Using Classification Based on Associations versus Jcolibri and FreeCBR: A Further Validation Study
...Show More Authors

View Publication Preview PDF
Scopus (5)
Crossref (1)
Scopus Clarivate Crossref
Publication Date
Tue Dec 01 2015
Journal Name
Journal Of Engineering
Civilizations and Environmental Particulars of Place in Islamic Holy Thresholds in Iraq (Alkadhumain Holy Threshold as a case study)
...Show More Authors

Islamic shrines architecture is one of the Islamic Architectural building types. It is called (Thresholds); (Atabat) in Arabic. Thoroughbred throughout the Islamic world from the east to west. In addition, it carries the style features and peculiarities of uniqueness from the rest of the types of Islamic architecture. By virtue of the particularity of its function as tomb for important person in Islamic history. Islamic shrines architecture has grown and evolved in started from the small shrines, and then taken to widen with the evolution of time in line with the value of the event and the rituals associated with it. Some of them to became centers of large cities of the largest in many parts of the Islamic world.

... Show More
View Publication Preview PDF