A Rare Case of Page Kidney With Superimposed Infection

Page kidney (PK) is a rare renal condition characterized by external compression of the kidney, typically by a subcapsular hematoma, leading to resistant secondary hypertension due to hypoperfusion and ischemia. This hypertension is caused by the external compression of the kidney by a chronic subca...

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Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2023-12, Vol.15 (12), p.e50842
Main Authors: Zaw, Emerald, Bies, Jared J, Zay, Hein, Massebo, Eyoab, Hassan, Mariam, Prakash, Swathi, Htay, Thwe, Lane, Mariela
Format: Article
Language:English
Subjects:
Abdomen
Abscesses
Antibiotics
Biopsy
Blood pressure
Case reports
Cysts
Diabetes
Hematoma
Hospitalization
Hypertension
Ischemia
Kidney diseases
Kidneys
Leukocytes
Medical imaging
Pneumonia
Tomography
Transplants & implants
Ultrasonic imaging
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Summary:Page kidney (PK) is a rare renal condition characterized by external compression of the kidney, typically by a subcapsular hematoma, leading to resistant secondary hypertension due to hypoperfusion and ischemia. This hypertension is caused by the external compression of the kidney by a chronic subcapsular hematoma that activates the renin-angiotensin-aldosterone system (RAAS) system. Hematoma formation can result from external or internal trauma. The resolution of the hematoma can take months, and, in some cases, may necessitate a nephrectomy. Unresolved subcapsular hematomas can be complicated by infection, leading to sepsis, hospitalization, and the need for surgical drainage. This report presents a unique case of a 67-year-old female with a spontaneous left renal subcapsular hematoma that did not resolve with conservative measures and was complicated by superimposed infection requiring percutaneous drainage.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.50842