Key result
Renal decortication resolves recurrent Page kidney and restores normotension without antihypertensive therapy.
Why the study?
Page kidney is a rare cause of secondary hypertension resulting from external compression of renal parenchyma.
Case Report (n=1)
Renal decortication of Gerota's fascia can provide definitive cure and preserve renal parenchyma in patients with secondary hypertension from recurrent Page kidney refractory to percutaneous drainage and sclerotherapy.
Answers are grounded in this paper and cite their sources.
May warrant consideration in refractory recurrent Page kidney; leaves open need for prospective data before practice change.
Page kidney is a rare cause of secondary hypertension that results from external compression of renal parenchyma. A late adolescent, previously healthy, presented with symptomatic hypertension. He was found to have a right kidney subcapsular fluid collection, which was drained with percutaneous aspiration. Follow-up revealed persistently elevated blood pressure and repeat imaging showed re-accumulation of fluid. Repeated drainage and sclerotherapy were completed but did not lead to a definitive resolution. Definitive resolution was achieved with decortication of Gerota’s fascia. This treatment was ideal for the patient as renal parenchyma was preserved. At follow-up, the fluid collection has not recurred and the patient is normotensive off antihypertensives.
No takes yet. Share an insight, caveat, or question.
Kertes et al. (2026) conducted a case report in Recurrent Page kidney with symptomatic secondary hypertension and right kidney subcapsular fluid collection (n=1). Renal decortication of Gerota's fascia was evaluated on Resolution of subcapsular fluid collection and normalization of blood pressure. Renal decortication of Gerota's fascia achieved definitive resolution of recurrent Page kidney in 1 patient, preserving renal parenchyma and restoring normotension off antihypertensives.
Synapse has enriched 10 related papers. Consider them for comparative context: