title: Page kidney secondary to large splenic artery aneurysm bleeding and its management by angioembolization.
abstract: BACKGROUND
  The Page kidney is a rare phenomenon that refers to hypertension resulting from any external compression of a kidney by a hematoma, tumor, lymphocele, or urinoma. The activation of the renin-angiotensin-aldosterone system is believed to be the main mechanism responsible for development of resistant hypertension in Page kidney.
  
  
  METHODS
  We reported a patient with chronic pancreatitis who presented with hypotension due to splenic artery aneurysmal bleed; following the resuscitation, accelerated hypertension secondary to Page kidney caused by perinephric hematoma presented. Early diagnosis by contrast-enhanced computed tomography of the abdomen and renal angiogram was followed by therapeutic angioembolization. However, ultrasound guided aspiration was not done because of denial by the patient for further treatment. Follow-up showed normalization of blood pressure and resolution of hematoma on subsequent abdomen ultrasound evaluation.
  
  
  CONCLUSIONS
  Splenic artery aneurysm is a very uncommon cause of Page kidney and to our knowledge, it was the first case of its kind ever reported in the literature.
authors.affiliation: Department of Urology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
authors.forename: Santosh
authors.initials: S
authors.lastname: Kumar
authors.affiliation: Department of Urology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
authors.forename: Kumar
authors.initials: K
authors.lastname: Jayant
authors.affiliation: Department of Urology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
authors.forename: Sriharsha
authors.initials: S
authors.lastname: As
authors.affiliation: Department of Urology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
authors.forename: Sharwan Kumar
authors.initials: SK
authors.lastname: Singh
authors.affiliation: Department of Obstetrics and Gynecology, Medical College Udaipur, Rajasthan, India.
authors.forename: Swati
authors.initials: S
authors.lastname: Agrawal
keywords: Aneurysm; Embolization, Therapeutic; Kidney; Spleen