Ruptured renal artery aneurysm: a rare cause of shock in pregnancy

Renal artery aneurysm accounts for 1% of all aneurysms. Pregnancy is a predisposing condition for aneurysm formation and rupture. Our aim is to reinforce the presence of this rare condition as a cause of hypovolemic shock in pregnancy. With this aim, we present a case of a female who presented to us with this rare entity. The diagnosis of renal artery aneurysm during pregnancy remains elusive due to its rare occurrence and non-specific presentation. A high degree of vigilance and prompt treatment is required to salvage the lives of both mother and fetus. KEY MESSAGE: The diagnosis of renal artery aneurysm during pregnancy remains elusive due to its rare occurrence and non-specific presentation. Our aim is to reinforce the presence of this rare condition as a cause of hypovolemic shock in pregnancy. It is never thought of as a cause of hemorrhagic shock during pregnancy. We wish to make obstetricians aware of this condition as a differential diagnosis in such cases.