[Abdominal bruit associated with hypertension].
First cause of secondary hypertension is renovascular hypertension which presents abdominal bruit in 16 to 20% of cases. This clinical sign is also associated with other vascular disease of the abdomen such as celiac trunk stenosis and/or aneurysms located on the pancreaticoduodenal or gastroduodenal arcs level, with little representation among aneurysm. They usually appear on a context of digestive complications like neoplasias, chronic pancreatitis or gastric obstructions possibly with obstructive icterus, hemorrhage and acute abdomen episodes. Its presentation in other contexts is rare and constitutes a diagnostic challenge. Diagnosis is made by abdominal arteriography which is the best method because you can locate the problem as well as intervene therapeutically with embolization of the aneurysme. We would like to emphasize the importance of a quick diagnosis due to the risk of rupture and the high morbi-mortality associated.
Fontseré
N
N
Servicio de Nefrología y Unidad de Hipertensión Arterial, Hospital Universitario Germans Trias i Pujol. Badalona, Barcelona. 34989nfb@comb.es
Bonet
J
J
Bonal
J
J
Romero
R
R
D000783:Aneurysm / Q000150:complications* / Q000000981:diagnostic imaging / Q000628:therapy; D017542:Aneurysm, Ruptured / Q000517:prevention & control; D017130:Angioplasty; D001157:Arterial Occlusive Diseases / Q000150:complications* / Q000000981:diagnostic imaging / Q000628:therapy; D001314:Auscultation; D002445:Celiac Artery / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery; D003251:Constriction, Pathologic; D042241:Early Diagnosis; D004621:Embolization, Therapeutic; D005260:Female; D006261:Headache / Q000209:etiology; D006801:Humans; D006978:Hypertension, Renovascular / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging; D008875:Middle Aged; D011859:Radiography; D013016:Sound