Butt F K, Seawright A H, Kokko K E, Hawxby A M
Department of Surgery, University of Mississippi Medical Center, Jackson, Mississippi 39216, USA.
Transplant Proc. 2010 Dec;42(10):4291-4. doi: 10.1016/j.transproceed.2010.09.042.
The Page kidney phenomenon is a well recognized entity where an extrinsically compressed kidney results in hypertension and loss of function. This compression is usually caused by a subcapsular hematoma secondary to blunt abdominal trauma or an invasive procedure such as a renal biopsy. We describe an unusual case involving the spontaneous development of a Page kidney 24 days after renal transplantation without any history of preceding trauma. The subcapsular hematoma was detected by a computerized tomographic scan performed as part of the work-up for acute allograft dysfunction. Prompt recognition and early intervention are essential if renal function is to be restored before irreversible damage occurs.
佩奇肾现象是一种公认的情况，即外在受压的肾脏会导致高血压和功能丧失。这种压迫通常由钝性腹部创伤继发的包膜下血肿或诸如肾活检等侵入性操作引起。我们描述了一例不寻常的病例，肾移植24天后自发出现佩奇肾，且无任何先前创伤史。作为急性移植肾功能障碍检查的一部分，通过计算机断层扫描检测到包膜下血肿。如果要在不可逆转的损害发生之前恢复肾功能，迅速识别和早期干预至关重要。
