Varying Course of Hypertension Following Renal Trauma
- 1 December 1981
- journal article
- case report
- Published by Wolters Kluwer Health in Journal of Urology
- Vol. 126 (6), 798-801
- https://doi.org/10.1016/s0022-5347(17)54755-2
Abstract
Hypertension developed in 5 patients after unilateral renal injury. The time-lag from injury to development of hypertension varied from 6 weeks to more than 3 years. In 2 of 3 patients with partial renal injury blood pressure normalized spontaneously. In the third patient sustained hypertension was cured by nephrectomy 56 months after injury. Nephrectomy led to normotension in the 2 patients with renal artery thrombosis, in 1 of them 14 years after renal trauma. Activation of the renin aldosterone axis was observed in all patients. The causes of varying time-lag from renal injury to onset of hypertension are obscure. Because of possible spontaneous regression of hypertension sufficient followup is recommended in patients with a history of renal injury. On the other hand, nephrectomy may be curative even after long-standing hypertension caused by traumatic renal artery thrombosis.Keywords
This publication has 14 references indexed in Scilit:
- Renal Hypertension Caused by Retroperitoneal HematomaActa Medica Scandinavica, 2009
- Renin Angiotensin Involvement in Transient Hypertension After Renal InjuryJournal of Urology, 1978
- RENIN/ANGIOTENSIN SYSTEM IN HYPERTENSION AFTER TRAUMATIC RENAL-ARTERY THROMBOSISThe Lancet, 1976
- Renal Trauma and Persistent HypertensionNephron, 1976
- Unilateral "Page Kidney" Hypertension in ManPublished by American Medical Association (AMA) ,1975
- Transient Hypertension Associated with Closed Renal InjuryBritish Journal of Urology, 1973
- Renal trauma and hypertensionThe American Journal of Cardiology, 1971
- Transient hypertension caused by segmental renal artery occlusion.BMJ, 1969
- THE INJURED KIDNEYPublished by American Medical Association (AMA) ,1960
- Renal Trauma and its Relation to HypertensionJournal of Urology, 1943