1
|
Fonseca de Jesus Silva C, Sosa Barrios RH, Burguera Vion V, Fernández Lucas M, Rivera Gorrín ME. Reversed diastolic intrarenal flow in page kidney following renal biopsy. J Ultrasound 2024:10.1007/s40477-023-00857-6. [PMID: 38413476 DOI: 10.1007/s40477-023-00857-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2023] [Accepted: 12/03/2023] [Indexed: 02/29/2024] Open
Abstract
Page's kidney is a condition that occurs due to external renal compression, usually caused by a subcapsular haematoma, generating a renal compartmental syndrome with parenchymal damage and renal perfusion alteration. Classically associated with renal trauma, Page's kidney can also arise after invasive renal procedures, such as renal biopsies or percutaneous nephrostomies. Clinically, it can trigger hypertension due to activation of the renin-angiotensin system induced by hypoperfusion secondary to renal parenchymal compression and can also present with varying degrees of renal function impairment. Furthermore, severe acute renal failure may be found particularly in patients with solitary kidneys or renal transplants. We present two cases of Page's kidney after renal biopsy and their PoCUS ultrasound findings. We would like to highlight the reversed diastolic flow on Doppler ultrasound in this entity, a pattern we have found in all two cases.
Collapse
Affiliation(s)
| | - R Haridian Sosa Barrios
- Servicio de Nefrología, Hospital Universitario Ramón y Cajal, IRyCIS, Madrid, Spain.
- Sociedad Española de Nefrología: Pje. de Peña, 2, 39008 Santander, Cantabria, Madrid, Spain.
- , Ctra Colmenar Viejo km 9.1, 28034, Madrid, Spain.
| | - Víctor Burguera Vion
- Servicio de Nefrología, Hospital Universitario Ramón y Cajal, IRyCIS, Madrid, Spain
- Sociedad Española de Nefrología: Pje. de Peña, 2, 39008 Santander, Cantabria, Madrid, Spain
| | - Milagros Fernández Lucas
- Servicio de Nefrología, Hospital Universitario Ramón y Cajal, IRyCIS, Madrid, Spain
- Sociedad Española de Nefrología: Pje. de Peña, 2, 39008 Santander, Cantabria, Madrid, Spain
- Universidad de Alcalá de Henares, UAH, Madrid, Spain
| | - Maite E Rivera Gorrín
- Servicio de Nefrología, Hospital Universitario Ramón y Cajal, IRyCIS, Madrid, Spain
- Sociedad Española de Nefrología: Pje. de Peña, 2, 39008 Santander, Cantabria, Madrid, Spain
- Universidad de Alcalá de Henares, UAH, Madrid, Spain
| |
Collapse
|
2
|
Wang L, Qiu Z, Zhan S, Shi G, He W, Cen Z, Xu F, Tian W, Li D. Case report: Page kidney with multiple serosal effusions caused by bilateral spontaneous renal subcapsular hemorrhage. Front Med (Lausanne) 2024; 11:1290470. [PMID: 38327706 PMCID: PMC10847276 DOI: 10.3389/fmed.2024.1290470] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2023] [Accepted: 01/02/2024] [Indexed: 02/09/2024] Open
Abstract
Page kidney is caused by the perirenal or subcapsular accumulation of blood or fluid pressing on the renal parenchyma and is a rare cause of secondary hypertension. In this study, we report a case of Page caused by bilateral spontaneous subcapsular renal hematoma, the main manifestations of which were secondary hypertension, multiple serous effusions, and renal insufficiency. After admission, drug blood pressure control was ineffective. After bilateral perirenal effusion puncture and drainage were performed to relieve bilateral perirenal compression, blood pressure gradually dropped to normal, multi-serous cavity effusion (pericardial, thoracic, and abdominal effusion) gradually disappeared, and kidney function returned to normal. Secondary hypertension caused by Page kidney can be treated. When Page kidney is complicated with multiple serous effusions, the effect of antihypertensive drugs alone is poor, and early perineal puncture drainage can achieve better clinical efficacy.
Collapse
Affiliation(s)
- Leibo Wang
- Surgery, Guizhou Orthopaedic Hospital, Guiyang, China
- Surgery, Beijing Jishuitan Hospital Guizhou Hospital, Guiyang, China
| | - Zuze Qiu
- Department of Urology, Affiliated Hospital of Zunyi Medical University, Zunyi, China
| | - Shun Zhan
- Department of Urology, Affiliated Hospital of Zunyi Medical University, Zunyi, China
| | - Guanyu Shi
- Department of Urology, Fenggang County People's Hospital, Zunyi, China
| | - Wei He
- Surgery, Guizhou Orthopaedic Hospital, Guiyang, China
- Surgery, Beijing Jishuitan Hospital Guizhou Hospital, Guiyang, China
| | - Zhuangding Cen
- Surgery, Guizhou Orthopaedic Hospital, Guiyang, China
- Surgery, Beijing Jishuitan Hospital Guizhou Hospital, Guiyang, China
| | - Feng Xu
- Surgery, Guizhou Orthopaedic Hospital, Guiyang, China
- Surgery, Beijing Jishuitan Hospital Guizhou Hospital, Guiyang, China
| | - Wu Tian
- Surgery, Guizhou Orthopaedic Hospital, Guiyang, China
- Surgery, Beijing Jishuitan Hospital Guizhou Hospital, Guiyang, China
| | - Daobing Li
- Department of Urology, Affiliated Hospital of Zunyi Medical University, Zunyi, China
| |
Collapse
|