Kumar Avneesh, Wilkie Martin, Brown Peter Wg, Nathan Chidambaram
Department of Transplant Surgery.
Department of Nephrology, and.
Clin Nephrol Case Stud. 2015 May 22;3:5-7. doi: 10.5414/CNCS108447. eCollection 2015.
We report a case of the Page kidney phenomenon which occurred in a patient with a renal allograft following blunt trauma. The injury occurred following an accidental trip resulting in a trivial fall. The patient presented with acute graft dysfunction with no localizing symptoms or signs. His renal function deteriorated further and he also became hypertensive. Serial ultrasounds showed an increase in the size of perinephric hematoma and evidence of renal compression. Prompt surgical evacuation of the hematoma was performed and renal function returned to baseline. Serial ultrasound examinations and timely surgical intervention can prevent graft loss in this unusual situation.
我们报告一例钝性创伤后肾移植患者发生的佩奇肾现象。损伤发生在一次意外绊倒导致轻微跌倒之后。患者出现急性移植肾功能障碍，无定位症状或体征。其肾功能进一步恶化，且出现高血压。系列超声检查显示肾周血肿增大及肾脏受压迹象。及时进行了血肿手术清除，肾功能恢复至基线水平。在这种特殊情况下，系列超声检查和及时的手术干预可防止移植肾丢失。
