Archivos espanoles de urologia · 2005
[Arterial hypertension in associated with congenital unilateral stenosis of the ureteropelvic junction].
Клинический случайАннотация на английскомСтатьяНазвание и аннотация: Перевод в очереди
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Cruz Guerra Nicolás Alberto, Sáenz Medina Javier, Tarroc Blanco Antonio
Аннотация
OBJECTIVES: To report one case of hypertension in association with congenital unilateral stenosis of the ureteropelvic junction (UPJ).
METHODS: We describe the case of a 19- year-old male patient without urologic symptoms who was incidentally diagnosed of high blood pressure. Radiological tests showed right hydronephrosis suggestive UPJ stenosis. The insertion of a percutaneous nephrostomy allowed discontinuation of antihypertensive treatment. Dismembered pyeloplasty was indicated.
RESULTS: Functional results were satisfactory. Blood pressure normalization without medical treatment was achieved.
CONCLUSIONS: We emphasize the physiopathogenic connection between unilateral ureteral obstructive pathology, as the case, described and other entities not strictly urological, such as high blood pressure. We concur with other authors in the validity of conservative reconstructive surgery for these cases.
METHODS: We describe the case of a 19- year-old male patient without urologic symptoms who was incidentally diagnosed of high blood pressure. Radiological tests showed right hydronephrosis suggestive UPJ stenosis. The insertion of a percutaneous nephrostomy allowed discontinuation of antihypertensive treatment. Dismembered pyeloplasty was indicated.
RESULTS: Functional results were satisfactory. Blood pressure normalization without medical treatment was achieved.
CONCLUSIONS: We emphasize the physiopathogenic connection between unilateral ureteral obstructive pathology, as the case, described and other entities not strictly urological, such as high blood pressure. We concur with other authors in the validity of conservative reconstructive surgery for these cases.