Al-Smair Ali, Saadeh Osama, Saadeh Ahmad, Al-Ali Ahmad
Radiology, Medray International Radiology Center, Amman, JOR.
Public Health, Northeastern Illinois University, Chicago, USA.
Cureus. 2022 Apr 10;14(4):e24004. doi: 10.7759/cureus.24004. eCollection 2022 Apr.
Renovascular hypertension (RVHT) is among the most prevalent causes of treatment-resistant hypertension. Mostly it is caused by renal artery stenosis (RAS). With atherosclerosis being the most common cause of RAS, RAS due to external compression by the diaphragmatic crus is rare. The treatment of rare causes requires individualization due to the differences between their etiologies. Herein, we present a case of an 18-year-old patient presenting with high blood pressure readings. On follow-up, he was diagnosed with hypertension. On further evaluation, the right diaphragmatic crus compressed the right renal artery. This case emphasizes medical management in patients with hypertension secondary to diaphragmatic crus compression, and radiological findings in such cases.
肾血管性高血压（RVHT）是治疗抵抗性高血压最常见的病因之一。它主要由肾动脉狭窄（RAS）引起。动脉粥样硬化是RAS最常见的病因，而由膈脚外部压迫导致的RAS则较为罕见。由于罕见病因的病因不同，其治疗需要个体化。在此，我们报告一例18岁高血压患者。随访时，他被诊断为高血压。进一步评估发现，右侧膈脚压迫右肾动脉。该病例强调了膈脚压迫继发高血压患者的医疗管理以及此类病例的影像学表现。
