Acute Renal Failure and Severe Hypertension from a Page Kidney Post-Transplant Biopsy

Page kidney refers to a clinical picture characterized by acute onset of hypertension due to external compression of the kidneys from hematoma, tumor, lymphocele, or urinoma. Hypertension is believed to result from renin-angiotensin-aldosterone activation triggered by renal hypoperfusion and microva...

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Main Authors:	Maria Aurora Posadas, Vincent Yang, Bing Ho, Muhammad Omer, Daniel Batlle
Format:	Article
Language:	English
Published:	Hindawi Limited 2010-01-01
Series:	The Scientific World Journal
Online Access:	http://dx.doi.org/10.1100/tsw.2010.150

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spelling	doaj-8919bfa3b30a431490c929f88c8701b72020-11-24T21:48:03ZengHindawi LimitedThe Scientific World Journal1537-744X2010-01-01101539154210.1100/tsw.2010.150Acute Renal Failure and Severe Hypertension from a Page Kidney Post-Transplant BiopsyMaria Aurora Posadas0Vincent Yang1Bing Ho2Muhammad Omer3Daniel Batlle4Division of Nephrology and Hypertension, Department of Medicine, Feinberg School of Medicine, Northwestern University, Chicago, USADivision of Nephrology and Hypertension, Department of Medicine, Feinberg School of Medicine, Northwestern University, Chicago, USADivision of Nephrology and Hypertension, Department of Medicine, Feinberg School of Medicine, Northwestern University, Chicago, USADivision of Nephrology and Hypertension, Department of Medicine, Feinberg School of Medicine, Northwestern University, Chicago, USADivision of Nephrology and Hypertension, Department of Medicine, Feinberg School of Medicine, Northwestern University, Chicago, USAPage kidney refers to a clinical picture characterized by acute onset of hypertension due to external compression of the kidneys from hematoma, tumor, lymphocele, or urinoma. Hypertension is believed to result from renin-angiotensin-aldosterone activation triggered by renal hypoperfusion and microvascular ischemia. Renal failure, in addition to hypertension, may occur in the setting of a single functional kidney or a diseased contralateral kidney. We report a case of a patient who had a transplant kidney biopsy complicated by a subcapsular perinephric hematoma. The patient presented with an acute increase in blood pressure and a rapid rise in serum creatinine following a transplant kidney routine biopsy. He underwent emergent evacuation of the perinephric hematoma, with consequent decrease of his blood pressure and return of serum creatinine back to his baseline level. Early recognition and rapid intervention are needed in order to correct hypertension and reverse acute renal failure in Page kidney occurring in renal transplant recipients.http://dx.doi.org/10.1100/tsw.2010.150
collection	DOAJ
language	English
format	Article
sources	DOAJ
author	Maria Aurora Posadas Vincent Yang Bing Ho Muhammad Omer Daniel Batlle
spellingShingle	Maria Aurora Posadas Vincent Yang Bing Ho Muhammad Omer Daniel Batlle Acute Renal Failure and Severe Hypertension from a Page Kidney Post-Transplant Biopsy The Scientific World Journal
author_facet	Maria Aurora Posadas Vincent Yang Bing Ho Muhammad Omer Daniel Batlle
author_sort	Maria Aurora Posadas
title	Acute Renal Failure and Severe Hypertension from a Page Kidney Post-Transplant Biopsy
title_short	Acute Renal Failure and Severe Hypertension from a Page Kidney Post-Transplant Biopsy
title_full	Acute Renal Failure and Severe Hypertension from a Page Kidney Post-Transplant Biopsy
title_fullStr	Acute Renal Failure and Severe Hypertension from a Page Kidney Post-Transplant Biopsy
title_full_unstemmed	Acute Renal Failure and Severe Hypertension from a Page Kidney Post-Transplant Biopsy
title_sort	acute renal failure and severe hypertension from a page kidney post-transplant biopsy
publisher	Hindawi Limited
series	The Scientific World Journal
issn	1537-744X
publishDate	2010-01-01
description	Page kidney refers to a clinical picture characterized by acute onset of hypertension due to external compression of the kidneys from hematoma, tumor, lymphocele, or urinoma. Hypertension is believed to result from renin-angiotensin-aldosterone activation triggered by renal hypoperfusion and microvascular ischemia. Renal failure, in addition to hypertension, may occur in the setting of a single functional kidney or a diseased contralateral kidney. We report a case of a patient who had a transplant kidney biopsy complicated by a subcapsular perinephric hematoma. The patient presented with an acute increase in blood pressure and a rapid rise in serum creatinine following a transplant kidney routine biopsy. He underwent emergent evacuation of the perinephric hematoma, with consequent decrease of his blood pressure and return of serum creatinine back to his baseline level. Early recognition and rapid intervention are needed in order to correct hypertension and reverse acute renal failure in Page kidney occurring in renal transplant recipients.
url	http://dx.doi.org/10.1100/tsw.2010.150
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Acute Renal Failure and Severe Hypertension from a Page Kidney Post-Transplant Biopsy

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