Trudności w diagnostyce guza okołonerkowego u rocznego dziecka z nadciśnieniem tętniczym nerkopochodnym

Bibliogr. s. 108

Background: Systemic hypertension is less common in children than in adults, but the incidence of hypertension In children is approximately 1-5%. Hypertension in younger children is usually indicative of an underlying disease process (secondary hypertension). In children, approximately 5-25% of secondary hypertension is attributable to renovasular disease. Case Report: The authors present the case of a 1-year-old child with perirenal tumor and renovascular hypertension. This caused clinical and diagnostic difficulties. Conclusions: Renal vessel malformation is a very uncommon congenital anomaly. It can be a cause of renovascular hypertension. Diagnosis was based on tests in the following order: USG, CT, MR, CT-angiography, and histopathology. Surgical treatment and nephrectomy was necessary; renal arteries were involved.