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Hypertension induced by occult renal tissue.
S K Fernbach1, E A Holland, I Benuck
1Department of Radiology, Northwestern University Medical School, Chicago, Illinois.
The Journal of Urology
|October 1, 1987
Summary
Two children with suspected solitary kidneys were diagnosed with hypertension. Occult contralateral renal tissue was surgically removed, resolving their high blood pressure.
Area of Science:
- Pediatric Nephrology
- Medical Imaging
- Surgical Urology
Background:
- Hypertension in children can be challenging to diagnose and manage.
- Solitary kidney is a rare condition often diagnosed via radiological studies.
- Accurate assessment of renal anatomy is crucial for pediatric health.
Observation:
- Two pediatric patients presented with hypertension.
- Initial radiological evaluations suggested a solitary kidney.
- Further diagnostic workup revealed unexpected contralateral renal tissue.
Findings:
- Hidden renal parenchyma was identified in the contralateral side of the presumed solitary kidney.
- Surgical excision of the accessory renal tissue was performed.
- Post-operative blood pressure normalized in both patients.
Implications:
- This case highlights the importance of thorough diagnostic evaluation in pediatric hypertension.
- Aggressive imaging can uncover occult renal anomalies.
- Surgical intervention for accessory renal tissue can effectively treat secondary hypertension.