Page Kidney: A Case of Acute or Chronic Renal Failure &Refractory HTN Presenting after Renal Biopsy

作     者：Stephen Meyer Aswin Nukala Nikita Maniar Waldo Herrera 

作者机构：Department of Internal Medicine Mt. Sinai Hospital Chicago USA 

出 版 物：《Open Journal of Nephrology》 (肾脏病（英文）)

年 卷 期：2015年第5卷第2期

页      面：40-43页

学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

主　　题：Page Kidney Acute Renal Failure Refractory Hypertension 

摘      要：Page Kidney is a relatively rare cause of Acute Renal Failure (ARF) presenting as accelerated and uncontrolled hypertension secondary direct compression of the renal parenchyma by an extrinsic source. This case report describes a 44-year-old male with advanced acute renal failure requiring hemodialysis, hypertension, and initial suspicion for thrombotic thrombocytopenic purpura who developed a case of Page Kidney following retroperitoneal hematoma following a renal biopsy. The patient was medically managed with intravenous nifedipine until blood pressure stabilized after improvement of the hematoma. Usually hematomas are self-resolving, however rarely they can result in the Page phenomenon—extrinsic compression of the affected kidney by the hematoma resulting in a picture that is similar to acute renal failure (ARF). This case highlights the importance of early medical management of blood pressure control after renal compression has been identified.