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Recurrent Page kidney in a child with a congenital solitary kidney requiring capsular artery embolization

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Abstract

We report an unusual case of a child with a congenital solitary functional kidney complicated by a sports-related posttraumatic Page kidney. The child developed severe hypertension and renal insufficiency requiring percutaneous intervention to preserve renal function. The literature is sparse with no definitive guidelines for the treatment of Page kidney. Following the initial unsuccessful treatment with percutaneous drainage and sclerotherapy procedures, the child ultimately required catheter-directed particle embolization of the capsular arteries to resolve a recurrent subscapsular hematoma definitively. This was successful in preserving renal function and stabilization of the clinical manifestations of the Page kidney.

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Authors and Affiliations

  1. Department of Radiology, Section of Pediatric Interventional Radiology, Pediatric Radiology, and Vascular Interventional Radiology (M/S R-5417), Seattle Children’s Hospital and the University of Washington, 4800 Sand Point Way NE, Seattle, WA, 98105, USA

    Nghia-Jack Vo & Fredric A. Hoffer

  2. Department of Pediatrics, Section of Nephrology, Seattle Children’s Hospital, Seattle, WA, USA

    Coral D. Hanevold

  3. University of Washington School of Medicine, Seattle, WA, USA

    Rachael Edwards

  4. Department of Pediatric Urology, Seattle Children’s Hospital, Seattle, WA, USA

    Martin A. Koyle

Authors
  1. Nghia-Jack Vo
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  2. Coral D. Hanevold
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  3. Rachael Edwards
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  4. Fredric A. Hoffer
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  5. Martin A. Koyle
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Correspondence to Nghia-Jack Vo.

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Vo, NJ., Hanevold, C.D., Edwards, R. et al. Recurrent Page kidney in a child with a congenital solitary kidney requiring capsular artery embolization. Pediatr Radiol 40, 1837–1840 (2010). https://doi.org/10.1007/s00247-010-1630-x

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  • DOI: https://doi.org/10.1007/s00247-010-1630-x

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