Bentham Malissa, Jurawan Nerissa, Belle Lisa, O'Shea Margaret
Faculty of Medical Sciences, The University of the West Indies at Cave Hill, Bridgetown, Barbados.
Medicine, Queen Elizabeth Hospital, Bridgetown, St Michael, Barbados.
BMJ Case Rep. 2024 Dec 15;17(12):e262498. doi: 10.1136/bcr-2024-262498.
Page kidney (Page phenomenon) is a rare and treatable cause of hypertension which can occur if a haematoma, leading to extrinsic compression, occurs after renal transplant biopsy. The renin-angiotensin-aldosterone system is activated leading to hypertension. This case report is that of a male in his 70s who had a renal transplant biopsy of his transplanted kidney and subsequently developed Page phenomenon as a result of an expanding haematoma. He developed elevated blood pressure (BP) along with a decrease in his renal function. Surgical intervention was used to salvage his transplanted kidney. The index case highlights the importance of being aware of the signs of Page kidney to ensure early recognition and intervention. To our knowledge, this is the first case of a Page kidney in a renal allograft documented in the Caribbean region.
佩奇肾（佩奇现象）是一种罕见但可治疗的高血压病因，如果肾移植活检后出现导致外部压迫的血肿，就可能发生这种情况。肾素-血管紧张素-醛固酮系统被激活，导致高血压。本病例报告的是一名70多岁的男性，他对移植肾进行了活检，随后因血肿扩大而出现佩奇现象。他出现了血压升高以及肾功能下降。通过手术干预挽救了他的移植肾。该病例突出了认识佩奇肾体征以确保早期识别和干预的重要性。据我们所知，这是加勒比地区记录的首例同种异体肾移植佩奇肾病例。
