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After a long-term follow-up, the patient recovered well. The RAA of this patient had calcific changes, which led us to errors in the diagnosis. Hence, it is very important for surgeons to effectively distinguish between renal calculi and aneurysms with ring-like calcifications. Our case report looks back at the thrilling situation during the operation and advises surgeons on how to deal with this situation properly. The RAA of this patient had calcific changes, which led us to errors in the diagnosis. Hence, it is very important for sur