Capsulectomy: a cure for the page kidney.
Hypertension is a known complication after renal trauma. The cause of posttraumatic hypertension can be renal scarring, infarction, hydonephrosis, infection, vascular injury, and parenchymal compression. The authors report on the case of a 16-year-old boy who experienced hypertension after blunt renal trauma. He had a dense fibrous pseudocapsule causing renal parenchymal compression, which lead to hypertension, a Page kidney. Evaluation with computed tomographic (CT) scan, radioisotope renal scan, renal Doppler, and angiogram confirmed the diagnosis. Removal of the renal capsule and the constricting fibrous pseudocapsule was curative.
Moriarty
K P
KP
Division of Transplant, Tufts University School of Medicine, Baystate Medical Center, Springfield, MA, USA.
Lipkowitz
G S
GS
Germain
M J
MJ
D000293:Adolescent; D006406:Hematoma / Q000150:complications / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D006801:Humans; D006977:Hypertension, Renal / Q000175:diagnosis / Q000209:etiology*; D007511:Ischemia / Q000209:etiology; D007668:Kidney / Q000098:blood supply / Q000293:injuries* / Q000601:surgery*; D008297:Male; D014947:Wounds and Injuries / Q000150:complications