Journal
UROLOGIA INTERNATIONALIS
Volume 85, Issue 1, Pages 121-124Publisher
KARGER
DOI: 10.1159/000314339
Keywords
Hypertension; Young adult; Juxtaglomerular; Kidney tumor; Hypokalemia
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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. Copyright (C) 2010 S. Karger AG, Basel
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