학술논문

Reversed diastolic intrarenal flow in page kidney following renal biopsy
Document Type
Original Paper
Source
Journal of Ultrasound: The Official Journal of the Italian Society for Ultrasound in Medicine and Biology. :1-5
Subject
PoCUS
Kidney ultrasound
Pulsed wave Doppler
Page kidney
Reversed diastolic flow
Language
English
ISSN
1876-7931
Abstract
Page’s kidney is a condition that occurs due to external renal compression, usually caused by a subcapsular haematoma, generating a renal compartmental syndrome with parenchymal damage and renal perfusion alteration. Classically associated with renal trauma, Page’s kidney can also arise after invasive renal procedures, such as renal biopsies or percutaneous nephrostomies. Clinically, it can trigger hypertension due to activation of the renin-angiotensin system induced by hypoperfusion secondary to renal parenchymal compression and can also present with varying degrees of renal function impairment. Furthermore, severe acute renal failure may be found particularly in patients with solitary kidneys or renal transplants. We present two cases of Page's kidney after renal biopsy and their PoCUS ultrasound findings. We would like to highlight the reversed diastolic flow on Doppler ultrasound in this entity, a pattern we have found in all two cases.