Traumatic page kidney induced hypertension in critical care: immediately resolved or long-term resistant problem.
Page kidney is a well-known phenomenon causing hypertension, due to compression of renal parenchyma by a subcapsular hematoma, of either traumatic or non-traumatic origin. The main therapeutic approach is based on surgical approach (nephrectomy or hematoma evacuation) and antihypertensive treatment. In this paper we present a post-traumatic case of Page Kidney in a Critical Care unit. We discuss different therapeutical opportunities to extremely elevated systemic blood pressure resistant to traditional drug therapy.
Department of Anesthesiology and Critical Care, Soroka Medical Center, Ben-Gurion University of the Negev, 85102 Beer Sheva, Israel.
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Brotfain
Department of Anesthesiology and Critical Care, Soroka Medical Center, Ben-Gurion University of the Negev, 85102 Beer Sheva, Israel.
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Koyfman
Department of Anesthesiology and Critical Care, Soroka Medical Center, Ben-Gurion University of the Negev, 85102 Beer Sheva, Israel.
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Frenkel
Department of Radiology, Soroka Medical Center, Ben-Gurion University of the Negev, 85102 Beer Sheva, Israel.
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Smolikov
Department of Anesthesiology and Critical Care, Soroka Medical Center, Ben-Gurion University of the Negev, 85102 Beer Sheva, Israel.
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Zlotnik
Department of Anesthesiology and Critical Care, Soroka Medical Center, Ben-Gurion University of the Negev, 85102 Beer Sheva, Israel.
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Klein