Acute Page Kidney After a Kidney Allograft Biopsy: Successful Outcome From Observation and Medical Treatment

摘要

Page kidney generally refers to the development of renin-dependent hypertension because of the effects of any extra-renal compression of the kidney by acute or chronic processes, such as hematoma and constrictive perinephritis {1,2). Although hypertension is the most common presenting clinical picture, acute renal failure can occur in the setting of a diseased controlateral kidney or in the setting of a single kidney. A kidney-allograft biopsy is associated with the risk of perirenal or subcapsular hematoma that can cause compression-induced renal ischemia and an acute Page kidney (APK) phenomenon. In the kidney-transplant (KT) literature, APK phenomena have been described since 1976 (3-7). However, no clear recommendations are available for the treatment of postbiopsy APK