When Compression Causes Hypertension

A 21-year-old woman presents with hypertension and Abdominal pain. Explore how a rectal mass and urinomas led to a rare cause of secondary hypertension.

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A 21-year-old woman with a history of surgically corrected Hirschsprung’s disease presented with 6-week history of abdominal pain and constipation. Her blood pressure was 162/108 mm Hg. She had an elevated creatinine and CT showed large subcapsular urinomas and hydronephrosis caused by distal ureteral obstruction from a rectal mass. What is the likely mechanism of her hypertension?

What is the most likely diagnosis?

Atherosclerotic renal artery stenosis
Fibromuscular dysplasia
Medullary sponge kidney
Page kidney
Polycystic kidney disease

Page kidney, Renal Compression, Renin-Angiotensin System, Secondary Hypertension, Urinoma

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