Cruz Guerra Nicolás Alberto, Sáenz Medina Javier, Tarroc Blanco Antonio
Servicio de Urología, Complejo Hospitalario de Zamora, Zamora, España.
Arch Esp Urol. 2005 Jun;58(5):463-6. doi: 10.4321/s0004-06142005000500015.
To report one case of hypertension in association with congenital unilateral stenosis of the ureteropelvic junction (UPJ).
We describe the case of a 19- year-old male patient without urologic symptoms who was incidentally diagnosed of high blood pressure. Radiological tests showed right hydronephrosis suggestive UPJ stenosis. The insertion of a percutaneous nephrostomy allowed discontinuation of antihypertensive treatment. Dismembered pyeloplasty was indicated.
Functional results were satisfactory. Blood pressure normalization without medical treatment was achieved.
We emphasize the physiopathogenic connection between unilateral ureteral obstructive pathology, as the case, described and other entities not strictly urological, such as high blood pressure. We concur with other authors in the validity of conservative reconstructive surgery for these cases.
报告一例与先天性单侧输尿管肾盂连接部（UPJ）狭窄相关的高血压病例。
我们描述了一名19岁男性患者的病例，该患者无泌尿系统症状，偶然被诊断为高血压。影像学检查显示右侧肾积水，提示UPJ狭窄。经皮肾造瘘术的实施使得抗高血压治疗得以停止。遂行肾盂成形术。
功能结果令人满意。未进行药物治疗血压即恢复正常。
我们强调了如本病例所述的单侧输尿管梗阻性病变与其他并非严格意义上泌尿系统疾病（如高血压）之间的病理生理联系。我们赞同其他作者关于此类病例采用保守性重建手术的有效性观点。
