OBJECTIVE: @entity101 secondary to @entity8 is an unusual problem, but one that occurs with some frequency in an active @entity130 unit. The incidence and management of posttraumatic renovascular @entity101 at our Level I @entity130 center was reviewed. METHODS: A retrospective review of a @entity130 database was performed on @entity1 treated by our @entity130 service between 1977 and 1996. Seven @entity1 were identified who developed arterial @entity101 as a direct result of a @entity8 . RESULTS: All of the @entity1 sustained @entity1230 , with five requiring celiotomy to control @entity548 . @entity8 were occult, and there was no compelling reason to suspect @entity8 . No @entity1 had a history of @entity101 or elevated arterial pressure on admission; however, sustained arterial @entity101 was noted within 2 weeks to 8 months of injury. Arteriography was positive in all seven @entity1 , with findings that included lacerations of the main renal artery, its major branches, or intrarenal @entity8 (presumably from scarring). Renal-vein @entity916 assays localized to the injured kidney in six @entity1 . Treatment included nephrectomy in four cases, revascularization in one case, and medical management in two cases. All of the @entity1 treated operatively had prompt relief of their @entity101 . The two @entity1 treated soley by medical therapy had prompt, durable control of their arterial pressure with a single medication. However, medical treatment had failed before operation in several of the @entity1 . CONCLUSIONS: Because of the serious complications associated with undiagnosed @entity101 , new-onset or sustained @entity101 after @entity130 should be evaluated with attention to a possible renal cause.

Posttraumatic renovascular hypertension after XXXX .

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity8 :: ('MESH:D007674', 'Disease') :: ['constriction of the renal artery', 'Renal injuries', 'injury to the kidney', 'renal injury'] @entity101 :: ('MESH:D006973', 'Disease') :: ['hypertension', 'Hypertension'] @entity548 :: ('MESH:D006470', 'Disease') :: ['bleeding'] @entity1230 :: ('MESH:D009104', 'Disease') :: ['multiple injuries'] @entity916 :: ('5972', 'Gene') :: ['renin'] @entity130 :: ('MESH:D014947', 'Disease') :: ['major trauma', 'trauma']
@entity8 :: (MESH:D007674,Disease) :: ['occult renal injury']
