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Title: 腎盂切石術後に腎性高血圧を合併し腎部分切除術にて治癒せしめた1例
Other Titles: A case of renal hypertension after pyelolithotomy cured by segmental nephrectomy
Authors: 小西, 平  KAKEN_name
朴, 勺  KAKEN_name
高山, 秀則  KAKEN_name
友吉, 唯夫  KAKEN_name
Author's alias: Konishi, Taira
Pak, Kyun
Takayama, Hidenori
Tomoyoshi, Tadao
Keywords: Adult
Hypertension, Renal/etiology/surgery
Kidney Calculi/surgery
Kidney Pelvis/surgery
Postoperative Complications/surgery
Issue Date: Dec-1985
Publisher: 泌尿器科紀要刊行会
Journal title: 泌尿器科紀要
Volume: 31
Issue: 12
Start page: 2237
End page: 2242
Abstract: A case of renal hypertension after pyelolithotomy cured by segmental nephrectomy is reported. The patient, a 39-year-old man had had pyelolithotomy performed by the lumbodorsal approach at another hospital. Two months after operation he started to complain of headache and palpitation. The blood pressure was markedly high when he visited our hospital and peripheral plasma renin activity was also elevated. Urinalysis was normal except for slight proteinuria. The excretory urogram demonstrated cortical scarring in the lower portion of the left kidney. The renal scintigram demonstrated low uptake in this area, suggesting renal infarction. Renal arteriogram showed decreased vascularity in this area. Plasma renin activity was measured on the blood drawn from the renal vein of both sides and the ratio was about 2.4, and renin activity of the segmental renal vein from the left lower portion was elevated. Segmental nephrectomy of the lower pole was performed. The blood pressure three weeks after lower pole resection was estimated to be normal and renin activity returned to an almost normal level. Discussion was made on the cause of renal hypertension after renal surgery. In this case, it was suggested that renal hypertension is caused by subinfraction due to lesions of the dorsal renal artery in surgery for renal calculus.
PubMed ID: 3832924
Appears in Collections:Vol.31 No.12

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