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