The patient became hypotensive, an emergent CT with arterial, PV and delayed phases was performed.
There is a left renal artery aneurysm. There has been progression of retroperitoneal haemorrhage since the CTKUB. Active extravasation of contrast into the left posterior pararenal space on PV and delayed phases. Atrophic right kidney.
2.2 cm left renal artery aneurysm at a branching point of renal arteries.
Appearances are in keeping with a ruptured left renal artery aneurysm with active haemorrhage.