Page Kidney: A Case of Acute or Chronic Renal Failure & Refractory HTN Presenting after Renal Biopsy

Abstract Full-Text HTML XML Download Download as PDF (Size:335KB) PP. 40-43
DOI: 10.4236/ojneph.2015.52006    3,665 Downloads   4,315 Views  


Page Kidney is a relatively rare cause of Acute Renal Failure (ARF) presenting as accelerated and uncontrolled hypertension secondary direct compression of the renal parenchyma by an extrinsic source. This case report describes a 44-year-old male with advanced acute renal failure requiring hemodialysis, hypertension, and initial suspicion for thrombotic thrombocytopenic purpura who developed a case of Page Kidney following retroperitoneal hematoma following a renal biopsy. The patient was medically managed with intravenous nifedipine until blood pressure stabilized after improvement of the hematoma. Usually hematomas are self-resolving, however rarely they can result in the Page phenomenon—extrinsic compression of the affected kidney by the hematoma resulting in a picture that is similar to acute renal failure (ARF). This case highlights the importance of early medical management of blood pressure control after renal compression has been identified.

Cite this paper

Meyer, S. , Nukala, A. , Maniar, N. and Herrera, W. (2015) Page Kidney: A Case of Acute or Chronic Renal Failure & Refractory HTN Presenting after Renal Biopsy. Open Journal of Nephrology, 5, 40-43. doi: 10.4236/ojneph.2015.52006.

Conflicts of Interest

The authors declare no conflicts of interest.


[1] Smyth, A., Collins, C., Thorsteinsdottir, B., Madsen, B., Oliveira, G., Kane, G. and Garovic, V. (2012) Page Kidney: Etiology, Renal Function Outcomes and Risk for Future. The Journal of Clinical Hypertension, 14, 216-221.
[2] Kim, M., Parks, K. and Miller, E. (2013) Page Kidney: Hypertension Secondary to Extra-Renal Compression. Journal of Diagnostic Medical Sonography, 29, 26-29.
[3] Dopson, S., Jayakumar, S. and Velez, J. (2009) Page Kidney as a Rare Cause of Hypertension: Case Report and Review of the Literature. American Journal of Kidney Diseases, 25, 334-339.
[4] Mathew, A., Brahmbhatt, B., Rajesh, R., Kurian, G. and Unni, V.N. (2009) Page Kidney. Indian Journal of Nephrology, 19, 170-171.
[5] Brotfain, E., Koyfman, L., Frenkel, A., Smolikov, A., Zlotnik, A. and Klein, M. (2013) Traumatic Page Kidney Induced Hypertension in Critical Care: Immediately Resolved or Long-Term Resistant Problem. Case Reports in Critical Care, 2013, Article ID: 201424.
[6] Chung, J., Caumartin, Y., Warren, J. and Luke, P. (2008) Acute Page Kidney Following Renal Allograft Biopsy: A Complication Requiring Early Recognition and Treatment. American Journal of Transplantation, 8, 1323-1328.
[7] Nakano, S., Kigoshi, T., Uchita, K., Morimoto, S., Tsugawa, R. and Matsunou, H. (2008) Hypertension and Unilateral Renal Ischemia (Page Kidney) Due to Compression of a Retroperitoneal Paraganglioma. American Journal of Nephrology, 16, 91-94.
[8] Myrianthefs, P., Aravosita, P., Tokta, R., Louizou, L., Boutzouka, E. and Baltopoulos, G. (2007) Resolution of Page Kidney-Related Hypertension with Medical Therapy: A Case Report. Heart & Lung: The Journal of Acute and Critical Care, 36, 377-379.
[9] Kapil, S., Ashish, S., Viswaroop, S., Arul, M. and Gopalakrishnan, G. (2011) Page Kidney—Rare but Correctable Cause of Hypertension. UroToday International Journal, 4, art54.
[10] Patel, T.V. and Goes, N. (2007) Page Kidney. Kidney International, 72, 1562.

comments powered by Disqus

Copyright © 2020 by authors and Scientific Research Publishing Inc.

Creative Commons License

This work and the related PDF file are licensed under a Creative Commons Attribution 4.0 International License.