The page kidney phenomenon: Rarely found causes of secondary hypertension subcapsular hematoma renal in post-trauma cases

I Gusti Agung Dwi Putri Anjani; I Made Bayu Indratama; Prisca Oriana Sutanto; I Putu Ananta Wijaya Sabudi; Ida Bagus Ketut Swastika; Putu Utami Dewi; Made Nopriantha

doi:10.36216/jpd.v8i2.251

Authors

I Gusti Agung Dwi Putri Anjani General Practitioner at Grha Bhakti Medika Hospital, Klungkung, Bali, Indonesia
I Made Bayu Indratama Internal Medicine Specialist at Grha Bhakti Medika Hospital , Klungkung, Bali, Indonesia
Prisca Oriana Sutanto Surgeon Specialist at Grha Bhakti Medika Hospital, Klungkung, Bali, Indonesia
I Putu Ananta Wijaya Sabudi Department of Neurosurgery, Klungkung General Hospital, Bali, Indonesia
Ida Bagus Ketut Swastika Department of Anesthesia, Klungkung General Hospital, Bali, Indonesia
Putu Utami Dewi Radiology Department Medical Faculty Udayana University, Denpasar, Bali, Indonesia
Made Nopriantha Internal Medicine Specialist at Singasana Hospital, Tabanan, Bali Indonesia

DOI:

https://doi.org/10.36216/jpd.v8i2.251

Keywords:

Secondary hypertension, Page Kidney, subcapsular hematoma, renin angiotensin system, post trauma

Abstract

Page Kidney Phenomenon is a rare condition caused by extra-renal processes that cause the kidney parenchyma to compress, thus activating the renin-angiotensin-aldosterone system (RAAS). The manifestation that occurs is secondary hypertension. The etiology of Page Kidney can be caused by trauma and non-trauma. Initial management to treat secondary hypertension can be divided between antihypertensive treatment and combined with surgical approaches to drainage of hematoma subcapsular and in extreme cases nephrectomy total. An 18-year-old man was taken to the emergency room after a motorbike accident. The patient's blood pressure continued to increase to 178/91 mmHg. Abdominal ultrasonography revealed a subcapsular hematoma of the right kidney measuring 0.9 x 2.9 x 4.6 cm. The patient was diagnosed with Page Kidney. This patient was given antihypertensive therapy with a single pill combination (SPC) which is a combination of valsartan 80 mg and amlodipine 5 mg 1 x 1, with this antihypertensive therapy, secondary hypertension is controlled.

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Author Biographies

I Made Bayu Indratama, Internal Medicine Specialist at Grha Bhakti Medika Hospital , Klungkung, Bali, Indonesia

Internal Medicine Specialist at Grha Bhakti Medika Hospital, Klungkung, Bali, Indonesia
Prisca Oriana Sutanto, Surgeon Specialist at Grha Bhakti Medika Hospital, Klungkung, Bali, Indonesia

Surgeon Specialist at Grha Bhakti Medika Hospital, Klungkung, Bali, Indonesia
I Putu Ananta Wijaya Sabudi, Department of Neurosurgery, Klungkung General Hospital, Bali, Indonesia

Department of Neurosurgery, Klungkung General Hospital, Bali, Indonesia
Ida Bagus Ketut Swastika, Department of Anesthesia, Klungkung General Hospital, Bali, Indonesia

Department of Anesthesia, Klungkung General Hospital, Bali, Indonesia
Putu Utami Dewi, Radiology Department Medical Faculty Udayana University, Denpasar, Bali, Indonesia

Radiology Department Medical Faculty Udayana University, Denpasar, Bali, Indonesia
Made Nopriantha, Internal Medicine Specialist at Singasana Hospital, Tabanan, Bali Indonesia

Internal Medicine Specialist at Singasana Hospital, Tabanan, Bali Indonesia

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