Open AccessPage kidney: A rare but surgically treatable cause of hypertension
Author(s) -
Ashok Kumar Sokhal,
Gaurav Prakash,
Durgesh Kumar Saini,
Kuldeep Singh,
Satyanarayan Sankhwar,
Bhupendra Singh
Publication year - 2018
Publication title -
saudi journal of kidney diseases and transplantation/našrat amraḍ wa zira'aẗ al-kulaẗ
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.268
H-Index - 30
eISSN - 2320-3838
pISSN - 1319-2442
DOI - 10.4103/1319-2442.225183
Subject(s) - medicine , nephrectomy , flank pain , kidney , abdominal pain , refractory (planetary science) , blunt , hematoma , blood pressure , surgery , abdominal mass , physics , astrobiology
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.