Although expectant management is the cornerstone of managing most blunt renal trauma, a solitary kidney poses different challenges, as there is not a normal contralateral unit to provide physiologic compensation--a solitary Page kidney being one such example.
In a similar case of recurrent, solitary Page kidney, (4) initial conservative radiologic management via percutaneous drainage of the subcapsular renal hematoma (along with sclerosing attempts) failed, leading to eventual definitive management requiring embolization.
Recurrent Page kidney in a child with a congenital solitary kidney requiring capsular artery embolization.
The majority of Page kidneys develop in young men who experience blunt renal trauma.
She had no more recurrence of Page Kidney phenomenon and her antihypertensive regime is managed successfully as an outpatient.
The phenomenon of worsening of blood pressure from compression of the renal parenchyma by either a subcapsular collection or extrarenal collection causing renal hypoperfusion/ischemia and triggering of the renin-angiotensin-aldosterone system (RAAS) is known as Page Kidney.
11] described Page Kidney following living related renal transplantation that presented with refractory hypertension from perinephric hematoma.
Potential late complications include retroperitoneal fibrosis and Page kidney
Page kidney is defined as the external compression of the kidney, typically by a subcapsular hematoma, that leads to hypertension due to hypoperfusion and ischemia.
Key words: Hypertension; laparoscopic treatment; Page kidney.
Page kidney is defined as the external compression of the kidney, typically by a subcapsular hematoma, that leads to hypertension due to activation of the renin-angiotensin-aldosterone (RAA) axis by hypoperfusion and microvascular ischemia of the kidney.
9] A Page kidney
, however, alone would not explain the radiographical findings on US.