Hypertensive encephalopathy in a patient with retroperitoneal fibrosis.
A patient presented with retroperitoneal fibrosis but without any ureteric obstruction. The diagnosis was made by an abdominal CT scan and also at laparotomy. Post-operatively, she developed hypertensive encephalopathy. An isotope renogram with captopril was abnormal but not diagnostic of renal artery stenosis. The patient's condition improved with steroid and antihypertensive treatment. A follow-up CT scan showed complete resolution of peri-aortic thickening. A causative link is postulated between retroperitoneal fibrosis, trauma during laparotomy, and onset of acute hypertension.
Das
D
D
Department of Medicine, Lancaster Royal Infirmary, Lancaster, UK.
Brigg
J
J
Brown
C M
CM
D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D005260:Female; D006801:Humans; D006973:Hypertension / Q000150:complications / Q000628:therapy; D020343:Hypertensive Encephalopathy / Q000209:etiology* / Q000628:therapy; D008875:Middle Aged; D012185:Retroperitoneal Fibrosis / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D013256:Steroids; D014057:Tomography, X-Ray Computed
D000893:Anti-Inflammatory Agents; D013256:Steroids