AUTHOR=Wang Leibo , Qiu Zuze , Zhan Shun , Shi Guanyu , He Wei , Cen Zhuangding , Xu Feng , Tian Wu , Li Daobing 

TITLE=Case report: Page kidney with multiple serosal effusions caused by bilateral spontaneous renal subcapsular hemorrhage

JOURNAL=Frontiers in Medicine

VOLUME=Volume 11 - 2024

YEAR=2024

URL=https://www.frontiersin.org/journals/medicine/articles/10.3389/fmed.2024.1290470

DOI=10.3389/fmed.2024.1290470

ISSN=2296-858X

ABSTRACT=pressing on the renal parenchyma and is a rare cause of secondary hypertension. In this paper, we report a case of Page caused by bilateral spontaneous subcapsular renal hematoma, the main manifestations of which were secondary hypertension, multiple serous effusion, and renal insufficiency. After admission, drug blood pressure control was ineffective. After bilateral perirenal effusion puncture and drainage was performed to relieve bilateral perirenal compression, Blood pressure gradually dropped to normal, multi-serous cavity effusion (pericardial, thoracic, and abdominal effusion) gradually disappeared, and kidney function returned to normal. Secondary hypertension caused by Page kidney can be treated. When Page kidney is complicated with multiple serous effusion, the effect of antihypertensive drugs alone is poor, and early perineal puncture drainage can achieve better clinical efficacy.