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Arthur A. Hellebusch, MD; John L. Simmons, MD; Nancy Holland, MD

JAMA. 1970;214(4):757-759.

Abstract
A unilateral perirenal subfascial hematoma caused cessation of renal function and development of arterial hypertension. The ischemic functional pattern occurred during the phase of nonfunction; following surgical removal of the constricting hematoma, function returned towards normal, and the hypertension subsided. This would seem to support the validity of Page's original concept, that hemodynamic change within the kidney is the basic mechanism of hypertension and nonfunction, in cases of extrinsic compression of one kidney.

Author Affiliations
From the departments of surgery (urology) (Drs. Hellebusch and Simmons) and pediatrics (Dr. Holland), University of Kentucky Medical Center, Lexington.

Footnotes
Reprint requests to 800 S Rose St, Lexington, Ky 40506 (Dr. Hellebusch).

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