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Pediatric Radiology
Published in: Pediatric Radiology 11/2010

01-11-2010 | Case Report

Recurrent Page kidney in a child with a congenital solitary kidney requiring capsular artery embolization

Authors: Nghia-Jack Vo, Coral D. Hanevold, Rachael Edwards, Fredric A. Hoffer, Martin A. Koyle

Published in: Pediatric Radiology | Issue 11/2010

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Abstract

We report an unusual case of a child with a congenital solitary functional kidney complicated by a sports-related posttraumatic Page kidney. The child developed severe hypertension and renal insufficiency requiring percutaneous intervention to preserve renal function. The literature is sparse with no definitive guidelines for the treatment of Page kidney. Following the initial unsuccessful treatment with percutaneous drainage and sclerotherapy procedures, the child ultimately required catheter-directed particle embolization of the capsular arteries to resolve a recurrent subscapsular hematoma definitively. This was successful in preserving renal function and stabilization of the clinical manifestations of the Page kidney.
Literature
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Zaffanello M, Brugnara M, Zuffante M et al (2009) Are children with congenital solitary kidney at risk for lifelong complications? A lack of prediction demands caution. Int Urol Nephrol 41:127–135CrossRefPubMed
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Hellerstein S, Chambers L (2008) Solitary kidney. Clin Pediatr (Phila) 47:652–658CrossRef
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Dopson S, Jayakumar S, Velez J (2009) Page kidney as a rare cause of hypertension: case report and review of the literature. Am J Kidney Dis 54:334–339CrossRefPubMed
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Chung J, Caumartin Y, Warren J et al (2008) Acute Page kidney following renal allograft biopsy: a complication requiring early recognition and treatment. Am J Transplant 8:1323–1328CrossRefPubMed
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Moriarty K, Lipkowitz G, Germain M (1997) Capsulectomy: a cure for the Page kidney. J Pediatr Surg 32:831–833CrossRefPubMed
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McCune T, Stone W, Breyer J (1991) Page kidney: case report and the literature. Am J Kidney Dis 18:593–599PubMed
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Montalvo B, Yrizarry J, Casillas J et al (1996) Percutaneous sclerotherapy of lymphoceles related to renal transplantation. J Vasc Interv Radiol 7:117–123CrossRefPubMed
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Metadata
Title
Recurrent Page kidney in a child with a congenital solitary kidney requiring capsular artery embolization
Authors
Nghia-Jack Vo
Coral D. Hanevold
Rachael Edwards
Fredric A. Hoffer
Martin A. Koyle
Publication date
01-11-2010
Publisher
Springer-Verlag
Published in
Pediatric Radiology / Issue 11/2010
Print ISSN: 0301-0449
Electronic ISSN: 1432-1998
DOI
https://doi.org/10.1007/s00247-010-1630-x

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