Abstract

MANTAS, Pedro; BAPTISTA, Rute Baeta; SANTOS, Raquel  and  SERRAO, Ana Paula. Hypertension as an atypical presentation of unilateral ureteral obstruction. Port J Nephrol Hypert [online]. 2021, vol.35, n.3, pp.196-202.  Epub Sep 30, 2021. ISSN 0872-0169.  https://doi.org/10.32932/pjnh.2021.10.147.

Ureteral obstruction (ureteropelvic or ureterovesical junction obstruction) is frequently diagnosed during the workup investigation of na asymptomatic infant or child with upper urinary tract dilatation, commonly identified in a prenatal ultrasound. In older children, recurrent lumbar pain is a red flag for ureteral obstruction. Although less frequent, hypertension may be the initial and only manifestation of ureteral obstruction. The authors present two pediatric cases of unilateral ureteral obstruction with hypertension, in which the surgical treatment of the obstruction leads to blood pressure normalisation. In all pediatric age groups, a systematic investigation for secondary causes of hypertension is of paramount importance. In some cases, especially those of an obstructive nature, early surgical management can be curative, with normalization of blood pressure levels and prevention of renal injury.

Keywords : Hypertension; ureteral obstruction; child..

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