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Post-traumatic unilateral hydronephrosis with hypertension treated by embolization.
F A Pezzulli1, F M Purnell, E H Dillon
1Department of Radiology, Lenox Hill Hospital, New York, New York.
Urology
|January 1, 1989
Summary
Post-traumatic renal hypertension caused by unilateral hydronephrosis was successfully treated with renal artery embolization. The patient achieved sustained normotension two years post-procedure, demonstrating the efficacy of this intervention.
Area of Science:
- Nephrology
- Cardiovascular Medicine
- Interventional Radiology
Background:
- Renal hypertension can arise secondary to various renal pathologies, including hydronephrosis.
- Unilateral hydronephrosis, a condition of kidney swelling due to urine backup, can lead to secondary renovascular hypertension.
- Traumatic injury is an uncommon but significant cause of renal damage leading to secondary hypertension.
Observation:
- A case is presented of a patient with post-traumatic renal hypertension.
- The hypertension was secondary to unilateral hydronephrosis, indicating kidney damage and urine obstruction.
- The specific cause of trauma was not detailed but led to significant renal compromise.
Findings:
- The patient underwent embolization of the affected renal artery as a therapeutic intervention.
- This minimally invasive procedure aimed to reduce blood flow to the damaged portion of the kidney.
- Successful embolization led to the resolution of the underlying cause of hypertension.
Implications:
- Renal artery embolization is a viable treatment option for post-traumatic renal hypertension secondary to unilateral hydronephrosis.
- This case highlights the importance of considering renal vascular interventions in managing complex hypertension.
- Long-term normotension achieved post-embolization suggests a durable and effective treatment outcome for selected patients.