Pelvic-ureteric junction obstruction and hypertension with target organ damage: a case report and review of the literature.
Blood Press
; 22(5): 336-9, 2013 Oct.
Article
em En
| MEDLINE
| ID: mdl-23527814
ABSTRACT
Pelvic-ureteric junction obstruction (PUJO) is rare in adults and may be seen when the diagnosis has been missed in childhood. Hypertension may be a feature of PUJO but limited data are currently available in literature to support its association. We report a case of a 29-year-old woman who presented with severe hypertension. Work-up to exclude secondary hypertension showed high plasma renin activity, and imaging by ultrasound and computerized tomography a hydronephrosis and PUJO with impairment of kidney drainage at the renal scintigraphy. After double-J ureteric stenting, blood pressure decreased, antihypertensive medication tapered and the patients was normotensive with no antihypertensive medications after 6 months. We provide an update of the pathophysiology of hypertension in PUJO and a review of the available literature in order better to define the available treatments for these patients.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Obstrução Ureteral
/
Hidronefrose
/
Hipertensão
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Rim
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Pelve Renal
Limite:
Adult
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Female
/
Humans
Idioma:
En
Ano de publicação:
2013
Tipo de documento:
Article