Page kidney: A rare but surgically treatable cause of hypertension

Saudi J Kidney Dis Transpl. 2018 Jan-Feb;29(1):193-197. doi: 10.4103/1319-2442.225183.

Abstract

The Page kidney is a rare phenomenon. External renal parenchymal compression is the culprit. We report two cases of young males with flank pain, renal mass, and hypertension with history of blunt abdominal trauma. Initially, hypertension was controlled by angiotensin-converting enzyme (ACE) inhibitors but gradually became refractory to medical treatment. Laparoscopic nephrectomy was performed in both patients. We emphasize the Page kidney as a cause of hypertension in young patients, presenting with flank pain and renal mass with or without complications of hypertension. Management is aimed to control blood pressure by ACE inhibitors, aspiration of the hematoma, open hematoma evacuation, or nephrectomy.

Publication types

  • Case Reports

MeSH terms

  • Abdominal Injuries / complications*
  • Angiotensin-Converting Enzyme Inhibitors / therapeutic use
  • Antihypertensive Agents / therapeutic use
  • Biopsy
  • Blood Pressure* / drug effects
  • Drug Resistance
  • Humans
  • Hypertension, Renal / diagnosis
  • Hypertension, Renal / drug therapy
  • Hypertension, Renal / etiology*
  • Hypertension, Renal / physiopathology
  • Kidney Diseases / diagnostic imaging
  • Kidney Diseases / etiology
  • Kidney Diseases / physiopathology
  • Kidney Diseases / surgery*
  • Laparoscopy*
  • Male
  • Nephrectomy / methods*
  • Tomography, X-Ray Computed
  • Treatment Outcome
  • Wounds, Nonpenetrating / complications*
  • Young Adult

Substances

  • Angiotensin-Converting Enzyme Inhibitors
  • Antihypertensive Agents