ª Springer Science+Business Media New York 2017 Abdom Radiol (2017) 42:2387–2388 Published online: 9 April 2017 DOI: 10.1007/s00261-017-1139-y Abdominal Radiology Pat W. Whitworth III, Raymond B. Dyer Department of Radiology, Wake Forest Baptist Medical Center, Wake Forest University School of Medicine, Medical Center Blvd., Winston-Salem, NC 27157, USA A ‘‘Page kidney’’ refers to compression of the renal parenchyma with subsequent production of arterial hypertension. This physiology was ﬁrst described in 1939 by Dr. Irvine Page (Fig. 1), who reported that implan- tation of cellophane around the kidneys of animals re- sulted in the development of a constrictive hull of tissue about the kidneys and the development of arterial hypertension . In clinical practice, renal parenchymal compression resulting in arterial hypertension is fre- quently the result of a subcapsular hematoma (Fig. 2). The ﬁrst reported clinical case of a Page kidney was in an American football player with blunt renal injury and subcapsular hematoma. The resulting arterial hyperten- sion resolved after nephrectomy [2, 3]. Nontraumatic sources of subcapsular hematoma producing a Page kidney have been described, including renal cyst rupture, Fig. 2. This patient developed flank pain and hypertension after undergoing extracorporeal shock wave lithotripsy. Con- trast-enhanced CT revealed a
Abdominal Radiology – Springer Journals
Published: Apr 9, 2017
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