Department of Radiology, Section of Pediatric Interventional Radiology, Pediatric Radiology, and Vascular Interventional Radiology (M/S R-5417), Seattle Children's Hospital and University of Washington, 4800 Sand Point Way NE, Seattle, WA 98105, USA.
Pediatr Radiol. 2010 Nov;40(11):1837-40. doi: 10.1007/s00247-010-1630-x. Epub 2010 Mar 24.
We report an unusual case of a child with a congenital solitary functional kidney complicated by a sports-related posttraumatic Page kidney. The child developed severe hypertension and renal insufficiency requiring percutaneous intervention to preserve renal function. The literature is sparse with no definitive guidelines for the treatment of Page kidney. Following the initial unsuccessful treatment with percutaneous drainage and sclerotherapy procedures, the child ultimately required catheter-directed particle embolization of the capsular arteries to resolve a recurrent subscapsular hematoma definitively. This was successful in preserving renal function and stabilization of the clinical manifestations of the Page kidney.
我们报告了一例儿童先天性孤立功能性肾脏合并运动相关创伤性佩吉（Page）肾的罕见病例。该儿童发生严重高血压和肾功能不全，需要经皮介入治疗以保护肾功能。文献报道较少，对于佩吉肾的治疗尚无明确的指南。初始经皮引流和硬化治疗失败后，儿童最终需要导管定向颗粒栓塞囊内动脉以彻底解决复发性包膜下血肿。这成功地保留了肾功能并稳定了佩吉肾的临床表现。
