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Hyperreninemic hypertension following presumed abdominal trauma

Nature Reviews Nephrology volume 7, pages 730–734 (2011)Cite this article

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Abstract

Background. An 18-year-old previously normotensive man was referred to a hypertension unit with blood pressure readings of 140–150/100–110 mmHg. Renal ultrasound had shown a right renal subcapsular fluid collection and an abdominal computed tomography scan had revealed a large cystic lesion surrounding the right kidney with a thick wall and irregular peripheral calcification consistent with a long-standing traumatic perinephric hematoma.

Investigations. Physical examination, renal artery duplex ultrasonography, magnetic resonance imaging of the abdomen, isotopic renography with technetium-99m diethylenetriamine pentaacetic acid, and a renal venous renin ratio study.

Diagnosis. Hyperreninemic hypertension as a result of presumed abdominal trauma.

Management. Removal of the affected kidney.

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Figure 1: T2-weighted magnetic resonance images of the abdomen.
Figure 2: Isotopic renography technetium-99m diethylenetriamine pentaacetic acid image showing reduced function and perfusion of the right kidney.

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Acknowledgements

Written consent for publication was obtained from the patient. C. P. Vega, University of California, Irvine, CA, is the author of and is solely responsible for the content of the learning objectives, questions and answers of the Medscape, LLC-accredited continuing medical education activity associated with this article.

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Authors and Affiliations

  1. Hypertension Unit, Princess Alexandra Hospital, 5th Floor, Ipswich Road, Woolloongabba, Brisbane, QLD 4102, Australia

    Eduardo Pimenta & Michael Stowasser

  2. Greenslopes Private Hospital, Suite 29, Specialist Centre, Newdegate Street, Greenslopes, Brisbane, QLD 4120, Australia

    Richard D. Gordon

  3. Queensland X-Ray, Greenslopes Private Hospital, Newdegate Street, Greenslopes, Brisbane, QLD 4120, Australia

    Nicholas Daunt & Gregory Slater

Authors
  1. Eduardo Pimenta
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  2. Richard D. Gordon
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Contributions

E. Pimenta, R. D. Gordon and M. Stowasser wrote the article. All of the authors contributed to researching data for the article, discussing the content and reviewing/editing the manuscript before submission.

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Correspondence to Eduardo Pimenta.

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The authors declare no competing financial interests.

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Pimenta, E., Gordon, R., Daunt, N. et al. Hyperreninemic hypertension following presumed abdominal trauma. Nat Rev Nephrol 7, 730–734 (2011). https://doi.org/10.1038/nrneph.2011.127

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