[Ruptured aneurysm of the renal artery: a rare cause of macroscopic hematuria ].

The authors report a case of ruptured aneurysm of the renal artery in a 70-year-old man urgently admitted for massive haematuria and shock. As a result of a rapid diagnosis, ex situ resection of the aneurysm was performed with reconstruction of the renal artery pedicle using a vein graft and autologous renal transplantation in the iliac fossa. The patient had a favourable course at one year with normal renal function on laboratory tests and isotope scan. The authors review the literature concerning the epidemiology, classification, clinical features and management of aneurysms of the renal artery.