Yeungnam Univ J Med.  2015 Dec;32(2):143-145. 10.12701/yujm.2015.32.2.143.

Page kidney after botulinum toxin injection during chiropractic care

Affiliations
  • 1Department of Internal Medicine & Kidney Research Institute, Hallym University Sacred Heart Hospital, Anyang, Korea. imnksk@gmail.com

Abstract

Page kidney refers to the phenomenon of hypertension secondary to long-standing compression of renal parenchyma caused by renal subcapsular collection. The most common cause of renal subcapsular collection is a hematoma which usually occurs after a history of blunt trauma. A 42-year-old female patient who received botulinum toxin injection in her back during chiropractic care was admitted to the emergency room with sudden bilateral flank pain and hypertension. The computed tomography (CT) images demonstrated the presence of bilateral subcapsular renal hematoma. The patient was treated conservatively and recovered well. The follow up CT images showed markedly resolved bilateral hematoma.

Keyword

Page kidney; Secondary hypertension; Chiropractic; Procedure of botulinum toxin injection

MeSH Terms

Adult
Botulinum Toxins*
Chiropractic*
Emergency Service, Hospital
Female
Flank Pain
Follow-Up Studies
Hematoma
Humans
Hypertension
Kidney*
Botulinum Toxins
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