Acute Page kidney immediately following blunt trauma to a solitary pediatric kidney

Abstract

Page kidney refers to the occurrence of hypertension secondary to renal compression and is usually associated with a subcapsular or perinephric hematoma. It generally occurs weeks to months after the initial injury. We report on a case of Page kidney occurring acutely after Grade IV blunt renal trauma in a pediatric patient with a solitary kidney following a tobogganing accident. The child was initially managed conservatively and discharged after six days bedrest. He re-presented post-injury Day 12 with recurrent hematuria, anemia, hypertension, and renal failure that required eventual, and successful, surgical exploration.