Multiimaging approach in the diagnosis of Page kidney.

Abstract

In 1 939 Page first demonstrated that hypertension in a dog could be produced by wrapping one or both kidneys with cellophane. In 1 955 a case of hypertension in a young adult due to renal compression from a subcapsular hematoma was reported [1 ]. The only method of imaging this pathology has been angiography. Recently, Schaner et al. [2] emphasized the correlation of CT scanning and sonography in the diagnosis of subcapsular and perirenal hematoma. In his classic description, Page pointed out that not all hematomas within the renal and perirenal space produced persistent hypertension, but only those that cause subcapsular fibrosis and associated renal parenchymal compression [3]. We describe a case of a true Page kidney in a young woman with no history of trauma who had severe headaches and persistent hypertension. To our knowledge, this is the first time that sonographic and computed tomographic features of this entity have been corroborated with the classic findings of angiography.