A kidney tumor in an adolescent with severe hypertension and hypokalemia: an uncommon case--case report and review of the literature on reninoma.

Abstract:

:This report presents a case of a 16-year-old hypertensive boy who presented to our clinic. Laboratory findings showed severe hypokalemia and markedly increased plasma renin activity. Abdominal ultrasonography and contrast-enhanced computed tomography of the abdomen revealed a well-circumscribed, solid, hypoenhancing cortical lesion (2 cm) in the lower pole of the left kidney. The patient underwent nephron-sparing surgery. Histopathologic examination gave a diagnosis of juxtaglomerular cell tumor. Reninoma is an uncommon cause of hypertension in a young adult and should be included in the differential diagnosis as a potential life-threatening and curable condition. The conservative surgical management is the gold standard for small, circumscribed lesions.

journal_name

Urol Int

journal_title

Urologia internationalis

authors

Gottardo F,Cesari M,Morra A,Gardiman M,Fassina A,Dal Bianco M

doi

10.1159/000314339

subject

Has Abstract

pub_date

2010-01-01 00:00:00

pages

121-4

issue

1

eissn

0042-1138

issn

1423-0399

pii

000314339

journal_volume

85

pub_type

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