A Rare Case of Page Kidney in a Young Man with Flank Pain

被引:0
|
作者
Koyanagawa, Ken [1 ]
Bahl, Sumeet [2 ]
Havryliuk, Tatiana [1 ]
机构
[1] Brooklyn Hosp Ctr, Emergency Dept, 121 Dekalb Ave, Brooklyn, NY 11201 USA
[2] Brooklyn Hosp Ctr, Dept Intervent Radiol, Brooklyn, NY 11201 USA
来源
JOURNAL OF EMERGENCY MEDICINE | 2024年 / 66卷 / 03期
关键词
flank pain; Page kidney; perinephric hematoma; renal artery pseudoaneurysm; HYPERTENSION;
D O I
10.1016/j.jemermed.2023.10.019
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Background: Page kidney is a rare condition in which an external compression of the kidney as a result of a hematoma or mass causes renal ischemia and hypertension. In a patient with flank pain, elevated blood pressure, and recent trauma, this condition should be considered. Since this condition was first described in 1939, more than 100 case reports have surfaced. Case Report: We describe the case of a 26-year-old man who presented to the Emergency Department with flank pain, vomiting, and elevated blood pressure. A computed tomography scan of the abdomen and pelvis confirmed the presence of a perinephric hematoma, and the interventional radiology team was consulted to resolve the Page kidney. Why Should an Emergency Physician Be Aware of This?: Symptoms seen in Page kidney may be similar to other more common diagnoses encountered in the emergency department. It is important to maintain a high suspicion and order imaging studies as needed, especially in the setting of trauma, or a recent procedure in the vicinity of the renal parenchyma. (c) 2023 Elsevier Inc. All rights reserved.
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页码:e369 / e373
页数:5
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