Images in Clinical Medicine
Page Kidney
N Engl J Med 2003; 348:129January 9, 2003
- Article
A 23-year-old man presented with a two-month history of hypertension. At 18 years of age, he had sustained an injury to the left flank while playing college football. His blood pressure was 180/100 mm Hg. Magnetic resonance imaging of the abdomen showed a large left subcapsular hematoma with areas of calcification compressing the renal parenchyma (Panel A). Total left nephrectomy was performed. The resected left kidney contained a subcapsular calcified hematoma forming a thin-walled (0.3 cm), eggshell-like calcified cyst (7×5.5×3.5 cm) conforming to the lateral surface of the kidney (Panel B). At follow-up at 1 and 12 months, the patient's blood pressure was normal. His hypertension was induced by renal parenchymal compression (Page kidney), a rare cause of secondary hypertension. Page's experimental model of hypertension, created by wrapping cellophane around animal kidneys, was first described in 1939.
Guilherme H.M. Oliveira, M.D.
Alexander Schirger, M.D.
Mayo Clinic, Rochester, MN 55905- Citing Articles (1)
Citing Articles
1
Shirley J. Dopson, Subramoniam Jayakumar, Juan Carlos Q. Velez. (2009) Page Kidney as a Rare Cause of Hypertension: Case Report and Review of the Literature. American Journal of Kidney Diseases 54:2, 334-339
CrossRef
