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Pelvic-ureteric junction obstruction and hypertension with target organ damage: A case report and review of the literature.
- Source :
-
Blood Pressure . Oct2013, Vol. 22 Issue 5, p336-339. 4p. - Publication Year :
- 2013
-
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. [ABSTRACT FROM AUTHOR]
- Subjects :
- *TARGET organs (Anatomy)
*HYDRONEPHROSIS
*RENIN
*PATHOLOGICAL physiology
Subjects
Details
- Language :
- English
- ISSN :
- 08037051
- Volume :
- 22
- Issue :
- 5
- Database :
- Academic Search Index
- Journal :
- Blood Pressure
- Publication Type :
- Academic Journal
- Accession number :
- 90368075
- Full Text :
- https://doi.org/10.3109/08037051.2013.778005