Renal hypertension secondary to ureteropelvis junction obstruction. Unusual presentation and new therapeutic modality.
We recently have treated an infant with a ureteropelvic junction obstruction believed to be the first reported case of nonrenovascular renal hypertension presenting as a cerebrovascular accident. A new role for the percutaneous nephrostomy as a predictive, diagnostic, and therapeutic tool is illustrated. Pitfalls in the preoperative assessment of ureteropelvic junction obstructions are discussed, and possible mechanisms for reno-prival hypertension are suggested.
D000792:Angiography; D002544:Cerebral Infarction / Q000209:etiology*; D002675:Child, Preschool; D003251:Constriction, Pathologic; D006801:Humans; D006977:Hypertension, Renal / Q000150:complications / Q000175:diagnosis / Q000209:etiology*; D007682:Kidney Pelvis / Q000601:surgery; D008297:Male; D014517:Ureteral Obstruction / Q000150:complications*; D014567:Urography