title: Hyperreninemic hypertension following presumed abdominal trauma.
abstract: BACKGROUND
  An 18-year-old previously normotensive man was referred to a hypertension unit with blood pressure readings of 140-150/100-110 mmHg. Renal ultrasound had shown a right renal subcapsular fluid collection and an abdominal computed tomography scan had revealed a large cystic lesion surrounding the right kidney with a thick wall and irregular peripheral calcification consistent with a long-standing traumatic perinephric hematoma.
  
  
  METHODS
  Physical examination, renal artery duplex ultrasonography, magnetic resonance imaging of the abdomen, isotopic renography with technetium-99m diethylenetriamine pentaacetic acid, and a renal venous renin ratio study.
  
  
  METHODS
  Hyperreninemic hypertension as a result of presumed abdominal trauma.
  
  
  RESULTS
  Removal of the affected kidney.
authors.affiliation: Hypertension Unit, Princess Alexandra Hospital, 5th Floor, Ipswich Road, Woolloongabba, Brisbane, QLD 4102, Australia. e.pimenta@uq.edu.au
authors.forename: Eduardo
authors.initials: E
authors.lastname: Pimenta
authors.forename: Richard D
authors.initials: RD
authors.lastname: Gordon
authors.forename: Nicholas
authors.initials: N
authors.lastname: Daunt
authors.forename: Gregory
authors.initials: G
authors.lastname: Slater
authors.forename: Michael
authors.initials: M
authors.lastname: Stowasser
mesh_terms: D000007:Abdominal Injuries / Q000097:blood / Q000150:complications* / Q000175:diagnosis; D000293:Adolescent; D015415:Biomarkers / Q000097:blood; D001794:Blood Pressure; D003937:Diagnosis, Differential; D006801:Humans; D006973:Hypertension / Q000097:blood / Q000175:diagnosis / Q000209:etiology*; D008279:Magnetic Resonance Imaging; D008297:Male; D011866:Radioisotope Renography; D012077:Renal Artery / Q000293:injuries*; D012083:Renin / Q000097:blood*; D014057:Tomography, X-Ray Computed; D015599:Trauma Severity Indices
chemical_list: D015415:Biomarkers; D012083:Renin