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Renal artery aneurysm is the local expansion of renal artery, its branches or both due to the weakening of the elastic tissue and media of arterial wall structure. It has four basic types as saccular, fusiform, dissected and intrarenal based on Poutasse classification,there is a gradual increase in proofs and study results showing that endovascular treatment should be preferred in renal artery aneurysm treatment in correlation with the endovascular experience and technology improving especially in recent years. Our aim in this case presentation was to present the left renal artery saccular aneurysm rupture patient treated endovascularly and discuss with literature.