Awareness of the association between neurofibromatosis and ruptured renal artery aneurysms in pregnancy or postpartum can avert fatal outcomes.
Alerts clinicians to rare peripartum vascular rupture in neurofibromatosis; leaves open need for validated screening protocols.
An 18-year-old primigravida with neurofibromatosis presents with abdominal pain 5 days after a cesarean section. Repeated laparotomies are done before a ruptured renal artery aneurysm is diagnosed. Awareness of the rupture of these aneurysms during either pregnancy or the postpartum state and the association of this entity with neurofibromatosis could avert a fatal outcome.
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Petrulis et al. (1993) studied this question.
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