Unilateral ureteric obstruction: With hypertension and elevated renal vein renin activity

Two patients were found to have unusual forms of unilateral mid or distal ureteral obstruction associated with systemic hypertension. Assay of differential renal vein renin activity showed a significantly increased level on the affected side. After surgical correction of the ureteral obstruction, by...

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Bibliographic Details
Published inUrology (Ridgewood, N.J.) Vol. 10; no. 3; pp. 280 - 284
Main Authors Pertcheck, Lawrence M., Stables, Derek P., McDonald, Keith M., Freedberg, Lawrence E., Donohue, Robert E.
Format Journal Article
LanguageEnglish
Published Elsevier Inc 1977
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Summary:Two patients were found to have unusual forms of unilateral mid or distal ureteral obstruction associated with systemic hypertension. Assay of differential renal vein renin activity showed a significantly increased level on the affected side. After surgical correction of the ureteral obstruction, by nephrectomy in one case and the ureteroneocystostomy in the other, the systemic blood pressure returned to normal levels in both patients as did the renal vein renin activity in the one case restudied. The importance of early relief of obstruction, if feasible, and the contribution of renal vein renin activity measurements to patient management are stressed.
ISSN:0090-4295
1527-9995
DOI:10.1016/0090-4295(77)90081-4