[Arterial hypertension in associated with congenital unilateral stenosis of the ureteropelvic junction].

Abstract

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.

• Authors: Nicolás Alberto Cruz Guerra, Javier Sáenz Medina, Antonio Tarroc Blanco
• Journal: Archivos espanoles de urologia (Arch Esp Urol) Vol. 58 Issue 5 Pg. 463-6 (Jun 2005) ISSN: 0004-0614 [Print] Spain
• Vernacular Title: Hipertension arterial asociada a estenosis congenita unilateral de la union pieloureteral.
• PMID: 16078792 (Publication Type: Case Reports, English Abstract, Journal Article)

Topics

• Adult
• Humans
• Hydronephrosis (etiology)
• Hypertension, Renal (etiology)
• Incidence
• Kidney Pelvis (abnormalities, surgery)
• Male
• Nephrostomy, Percutaneous
• Renin-Angiotensin System (physiology)
• Ureter (abnormalities)
• Ureteral Obstruction (complications, congenital)