Hypertensive encephalopathy in a patient with retroperitoneal fibrosis.
case_report · Level V
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- Record sourced from PubMed, PMID 10567600.
- Also identified by PMC identifier 1741444.
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Abstract
A patient presented with retroperitoneal fibrosis but without any ureteric obstruction. The diagnosis was made by an abdominal CT scan and also at laparotomy. Post-operatively, she developed hypertensive encephalopathy. An isotope renogram with captopril was abnormal but not diagnostic of renal artery stenosis. The patient's condition improved with steroid and antihypertensive treatment. A follow-up CT scan showed complete resolution of peri-aortic thickening. A causative link is postulated between retroperitoneal fibrosis, trauma during laparotomy, and onset of acute hypertension.
Medical subject headings
- Hypertensive Encephalopathy
- Retroperitoneal Fibrosis