[Arterial hypertension in associated with congenital unilateral stenosis of the ureteropelvic junction].
OBJECTIVE
To report one case of hypertension in association with congenital unilateral stenosis of the ureteropelvic junction (UPJ).


METHODS
We describe the case of a 19- year-old male patient without urologic symptoms who was incidentally diagnosed of high blood pressure. Radiological tests showed right hydronephrosis suggestive UPJ stenosis. The insertion of a percutaneous nephrostomy allowed discontinuation of antihypertensive treatment. Dismembered pyeloplasty was indicated.


RESULTS
Functional results were satisfactory. Blood pressure normalization without medical treatment was achieved.


CONCLUSIONS
We emphasize the physiopathogenic connection between unilateral ureteral obstructive pathology, as the case, described and other entities not strictly urological, such as high blood pressure. We concur with other authors in the validity of conservative reconstructive surgery for these cases.
Cruz Guerra
Nicolás Alberto
NA
Servicio de Urología, Complejo Hospitalario de Zamora, Zamora, España. ncruzguerra@wanadoo.es
Sáenz Medina
Javier
J
Tarroc Blanco
Antonio
A
D000328:Adult; D006801:Humans; D006869:Hydronephrosis / Q000209:etiology; D006977:Hypertension, Renal / Q000209:etiology*; D015994:Incidence; D007682:Kidney Pelvis / Q000002:abnormalities* / Q000601:surgery; D008297:Male; D009403:Nephrostomy, Percutaneous; D012084:Renin-Angiotensin System / Q000502:physiology; D014513:Ureter / Q000002:abnormalities*; D014517:Ureteral Obstruction / Q000150:complications* / Q000151:congenital