Wang Leibo, Qiu Zuze, Zhan Shun, Shi Guanyu, He Wei, Cen Zhuangding, Xu Feng, Tian Wu, Li Daobing
Surgery, Guizhou Orthopaedic Hospital, Guiyang, China.
Surgery, Beijing Jishuitan Hospital Guizhou Hospital, Guiyang, China.
Front Med (Lausanne). 2024 Jan 24;11:1290470. doi: 10.3389/fmed.2024.1290470. eCollection 2024.
Page kidney is caused by the perirenal or subcapsular accumulation of blood or fluid pressing on the renal parenchyma and is a rare cause of secondary hypertension. In this study, we report a case of Page caused by bilateral spontaneous subcapsular renal hematoma, the main manifestations of which were secondary hypertension, multiple serous effusions, and renal insufficiency. After admission, drug blood pressure control was ineffective. After bilateral perirenal effusion puncture and drainage were performed to relieve bilateral perirenal compression, blood pressure gradually dropped to normal, multi-serous cavity effusion (pericardial, thoracic, and abdominal effusion) gradually disappeared, and kidney function returned to normal. Secondary hypertension caused by Page kidney can be treated. When Page kidney is complicated with multiple serous effusions, the effect of antihypertensive drugs alone is poor, and early perineal puncture drainage can achieve better clinical efficacy.
页状肾是由肾周或肾包膜下血液或液体积聚压迫肾实质引起的,是继发性高血压的罕见病因。在本研究中,我们报告一例由双侧自发性肾包膜下血肿引起的页状肾病例,其主要表现为继发性高血压、多处浆液性积液和肾功能不全。入院后,药物控制血压无效。在进行双侧肾周积液穿刺引流以缓解双侧肾周压迫后,血压逐渐降至正常,多处浆膜腔积液(心包、胸腔和腹腔积液)逐渐消失,肾功能恢复正常。页状肾引起的继发性高血压是可以治疗的。当页状肾合并多处浆液性积液时,单纯使用降压药物效果不佳,早期进行肾周穿刺引流可取得较好的临床疗效。