The most common pathogenetic lesion associated with renovascular
hypertension is atherosclerosis. Next in etiologic incidence is
arterial fibromuscular hyperplasia. The only other lesion common enough
to warrant percentage classification is renal artery aneurysm. Here, we
present a case with an aneurysm of the left renal artery following a
gunshot wound and its resultant malign hypertension
