Resolution of page kidney-related hypertension with medical therapy: A case report

• Published in: Heart & lung Vol. 36; no. 5; pp. 377 - 379
• Main Authors: Myrianthefs, Pavlos, MD, Aravosita, Paraskevi, MD, Tokta, Rea, MD, Louizou, Lizika, RN, Boutzouka, Eleni, MD, Baltopoulos, George, MD
• Format: Journal Article
• Language: English
• Published: United States Mosby, Inc 01.09.2007; Elsevier Science Ltd
• Subjects: Accidents, Traffic; ACE inhibitors; Adult; Antihypertensive Agents - therapeutic use; Cardiovascular; Critical Care; Drug therapy; Humans; Hypertension; Hypertension, Renovascular - drug therapy; Hypertension, Renovascular - etiology; Kidney - diagnostic imaging; Kidney - injuries; Kidney diseases; Kidney Diseases - complications; Male; Pulmonary/Respiratory; Tomography, X-Ray Computed
• ISSN: 0147-9563; 1527-3288
• DOI: 10.1016/j.hrtlng.2006.10.009

A 24-year-old man developed systolic hypertension as a result of renal contusion, perinephric fluid collection, and renal compression (Page kidney) after blunt renal trauma. The patient was treated with an angiotensin-converting enzyme inhibitor for 30 days, after which his blood pressure normalized and the medications were discontinued. Follow-up clinical and laboratory examinations at 3, 6, and 12 months showed normal results. Transient hypertension may develop in patients after blunt renal injury as a result of Page phenomenon. Appropriate medical therapy is warranted and may be successful because spontaneous resolution may be delayed or not occur at all.