Spontaneous renal artery aneurysm (RAA) rupture is a rare, but potentially fatal, cause of abdominal pain. A case is reported of a ruptured RAA in a previously well 45-year-old woman who presented with abdominal pain and syncope. Bedside ultrasound was unremarkable; however, a prompt abdominal computed tomography scan secured the diagnosis. Endovascular stenting was performed and the patient recovered.
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Competing interests: None.
Patient consent: Obtained.
GEF is an emergency department registrar. HP is a faculty member of the training programme.