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Related Experiment Videos

Page kidney with constrictive perinephritis

S Nomura1, G Osawa, H Kinoshita

  • 1Nephrology Division, Department of Medicine, Okayama, Japan.

Nihon Jinzo Gakkai Shi
|April 1, 1993
PubMed
Summary
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This case study details Page kidney, a rare condition causing hypertension, resulting from constrictive perinephritis after urinary tract infection and surgery. Nephrectomy successfully treated the patient's refractory hypertension.

Area of Science:

  • Nephrology
  • Urology
  • Hypertension Research

Background:

  • Page kidney is a rare cause of renovascular hypertension.
  • It typically results from external compression of the kidney, often due to hematoma.
  • Infectious complications following urinary tract procedures can lead to unusual etiologies.

Observation:

  • A case of Page kidney developed after an infectious urinoma and pyelolithotomy.
  • The patient presented with refractory hypertension unresponsive to medical management.
  • Constrictive perinephritis was identified as the cause, differing from typical etiologies like perirenal hematoma.

Findings:

  • Split venous renin measurements were crucial for diagnosis.
  • Nephrectomy led to significant improvement in the patient's hypertension.

Related Experiment Videos

  • This case highlights a non-hematoma related cause of Page kidney.

    • Implications:

    • Venous renin sampling is a valuable diagnostic tool for Page kidney.
    • Management options include medical therapy and surgical intervention (nephrectomy).
    • Understanding rare etiologies like constrictive perinephritis is vital for diagnosing and treating Page kidney and associated hypertension.