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Yeungnam Univ J Med > Volume 32(2); 2015 > Article
Yeungnam University Journal of Medicine 2015;32(2):143-145.
DOI: https://doi.org/10.12701/yujm.2015.32.2.143    Published online December 31, 2015.
Page kidney after botulinum toxin injection during chiropractic care.
Han Min Park, Chung Jo Choi, Jin Hee Kim, Ja Kyung Kim, Bum Jun Kim, Jae Yong Seo, Yong Seol Jeong, Jwa Kyung Kim, Sung Gyun Kim
Department 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.
Key Words: Page kidney, Secondary hypertension, Chiropractic, Procedure of botulinum toxin injection
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