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Nephrol Dial Transplant (2003) 18: 1917-1919
© 2003 European Renal Association-European Dialysis and Transplant Association

Case Report

Three ‘Pages’ in a chapter of accidents

Rashed S. Bakri1, Matthew Prime1, Ali Haydar2, Jonathan Glass3 and David J. A. Goldsmith4

1 Department of Nephrology, 3 Department of Urology and 4 Renal Unit, Guy’s and St Thomas’ NHS Trust, London, UK and 2 American University Hospital of Beirut, Lebanon

Correspondence and offprint requests to: Dr David Goldsmith, FRCP, Consultant Nephrologist, Renal Unit, Guy’s Hospital, London SE1 9RT, UK. Email: david.goldsmith@gstt.sthames.nhs.uk

Keywords: acute renal failure; haematoma; lithotripsy; Page kidney; transplantation

The first 10% of the full text of this article appears below.



   Introduction
 
Secondary hypertension is responsible for ~5–10% of causes of hypertension in the general population [1,2]. It is rarely possible to reverse/cure secondary hypertension, but if the patient is relatively young, and the causation of the raised blood pressure is diagnosed early enough a cure can be effected. This is most typically after renal arterial intervention for fibromuscular dysplasia, or after removal of an endocrinologically active tumour.

We describe three cases of a rare cause of secondary hypertension (sometimes as here with acute renal failure), the ‘Page kidney’, where there is sustained renal parenchymal compression leading to ischaemia and activation of the renin–angiotensin–aldosterone systems. We then discuss the definition and pathophysiology of the ‘Page kidney’ phenomenon [3]. In addition, we include a mini-review of the literature regarding the reported causes, . . . [Full Text of this Article]



   Case 1
 


   Case 2
 


   Case 3
 


   Discussion
 

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