Nomura S, Osawa G, Kinoshita H, Tanaka H
Nephrology Division, Department of Medicine, Okayama, Japan.
Nihon Jinzo Gakkai Shi. 1993 Apr;35(4):355-9.
We describe a case of Page kidney following an infectious urinoma complicated by a pyelolithotomy. The most characteristic finding was the fact that this case resulted from constrictive perinephritis, not from any usual etiology such as perirenal hematoma. Knowledge of the patient's medical history and split venous renin measurements were helpful in making a diagnosis. She had refractory hypertension during conservative medical therapy. Finally, a nephrectomy improved her hypertension. The value of venous renin sampling for reaching a diagnosis, and the medical and surgical therapeutic options are discussed. This report also reviews all previously described cases of Page kidney without hematomas.
我们描述了一例感染性肾周尿瘤并发肾盂切开取石术后的佩吉氏肾病例。最具特征性的发现是，该病例是由缩窄性肾周炎引起的，而非肾周血肿等任何常见病因。了解患者病史及分侧静脉肾素测定有助于做出诊断。她在保守药物治疗期间患有顽固性高血压。最终，肾切除术改善了她的高血压症状。文中讨论了静脉肾素采样对诊断的价值以及药物和手术治疗方案。本报告还回顾了所有先前描述的无血肿的佩吉氏肾病例。
