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The role of renoscintigraphy and surgery in the management of Page kidney: A case report.

Abstract Page kidney is an uncommon condition that hypertension occurs secondary to microvascular ischemia and alternation of small-vessel hemodynamics due to external compression of renal parenchyma and activation of the renin-angiotensin-aldosterone system. There are no specific guidelines for the management of Page kidney in the literatures.
PMID
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Authors

Mayor MeshTerms
Keywords
Journal Title medicine
Publication Year Start




PMID- 28422842
OWN - NLM
STAT- In-Process
DA  - 20170419
LR  - 20170419
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 96
IP  - 16
DP  - 2017 Apr
TI  - The role of renoscintigraphy and surgery in the management of Page kidney: A case
      report.
PG  - e6560
LID - 10.1097/MD.0000000000006560 [doi]
AB  - RATIONALE: Page kidney is an uncommon condition that hypertension occurs
      secondary to microvascular ischemia and alternation of small-vessel hemodynamics 
      due to external compression of renal parenchyma and activation of the
      renin-angiotensin-aldosterone system. There are no specific guidelines for the
      management of Page kidney in the literatures. PATIENT CONCERNS: A 17-year-old
      teenager who had Fontan procedure for tricuspid and pulmonary atresia in early
      childhood suffered from sudden onset of severe left flank pain during cardiac
      catheterization procedure. Left renal artery active bleeding with renal
      parenchyma compression in association with renin-mediated hypertension led to the
      diagnosis of Page kidney. DIAGNOSES: Page kidney was diagnosed in this case.
      INTERVENTIONS: Urgent embolization was performed to treat left renal artery
      active bleeding. Because of decreased renal function with elevation of serum
      creatinine, inadequate blood pressure control with antihypertensive medication,
      and poor renal blood flow of left kidney, open drainage of perirenal hematoma was
      done 5 days after catheterization procedure. OUTCOMES: After the operation,
      glomerular filtration rate improved immediately, and left flank pain and
      hypertension resolved at discharge. LESSONS: The choice of the therapies for Page
      kidney depended on the clinical presentation of each case. This case pointed out 
      the significance of renoscintigraphy and surgery in the management of Page
      kidney.
FAU - Chiu, Yu-Li
AU  - Chiu YL
AD  - aDepartment of Nuclear Medicine bSection of Pediatric Surgery, Department of
      Surgery, Kaohsiung Veterans General Hospital, Taiwan.
FAU - Hu, Chin
AU  - Hu C
FAU - Lee, Sin-Di
AU  - Lee SD
FAU - Chen, Po-Yin
AU  - Chen PY
FAU - Wang, Cheng-Pin
AU  - Wang CP
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
EDAT- 2017/04/20 06:00
MHDA- 2017/04/20 06:00
CRDT- 2017/04/20 06:00
AID - 10.1097/MD.0000000000006560 [doi]
AID - 00005792-201704210-00023 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2017 Apr;96(16):e6560. doi: 10.1097/MD.0000000000006560.

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