Calcified renal artery aneurism in the right kidney causing hypertension

Saudi Journal of Kidney Diseases and Transplantation : an Official Publication of the Saudi Center for Organ Transplantation, Saudi Arabia
Neslihan GünayRuhan Düşünsel

Abstract

The renal artery aneurysm (RAA) is defined as a renal artery segment that is twofold dilated than normally. It is very rare in children and often asymptomatic. However, it can cause severe hypertension (HTN) and kidney failure. Herein, we report a 14-year-old boy who with RAA which was presented with back pain. His medical history was remarkable for essential HTN that was refractory to antihypertensive medications. Plain abdominal radiography revealed calcification at the right flank area. On computed tomography images, calcification surrounding the right renal artery was detected. Selective renal angiography showed totally occluded right renal artery segment. Calcified RAA was detected on the operation and removed. Two months after, blood pressure was under control, but there was no functioning right kidney on DMSA. We think that clinicians should keep in mind RAA in the differential diagnosis of treatment-resistant HTN and use other radiologic methods even if Doppler is normal.

References

Feb 11, 2010·Pediatric Radiology·Sevtap GümüştaşZelal Bircan
Jan 18, 2011·Clinical Imaging·Marco CuraTimothy Dalsaso
Jan 8, 2013·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Shanwen ChenBaihua Shen
May 7, 2013·BMJ Case Reports·Antonio Jorge CabralHelena Isabel Almeida
Dec 30, 2014·Journal of Vascular Surgery·Jill Q KlausnerUNKNOWN Vascular Low-Frequency Disease Consortium
Jan 26, 2016·Journal of Vascular Surgery·Frank M DavisDawn M Coleman
Aug 23, 2017·Pediatrics·Joseph T FlynnUNKNOWN SUBCOMMITTEE ON SCREENING AND MANAGEMENT OF HIGH BLOOD PRESSURE IN CHILDREN

❮ Previous
Next ❯

Related Concepts

Related Feeds

Antihypertensive Agents: Mechanisms of Action

Antihypertensive drugs are used to treat hypertension (high blood pressure) which aims to prevent the complications of high blood pressure, such as stroke and myocardial infarction. Discover the latest research on antihypertensive drugs and their mechanism of action here.

Related Papers

Revista portuguesa de cirurgia cardio-torácica e vascular : órgão oficial da Sociedade Portuguesa de Cirurgia Cardio-Torácica e Vascular
Pedro Pinto SousaRui Almeida
The Journal of Cardiovascular Surgery
L A Peterson, M A Corriere
Annals of Vascular Surgery
Robert A CasillasChristian Virgilio
© 2021 Meta ULC. All rights reserved