Pancreatic adenocarcinoma can present initially as urologic disease. The 15 reported cases in the literature are analyzed and 5 cases, featuring ureteral obstruction, renal artery compression, abdominal bruit, positive urinary cytology, varicocele, renal mass and hematuria as the initial presentation of this disease, are added. The diagnosis and management are reviewed.
This report documents a case of hypertension caused by an intrarenal arterial stenosis in a ten-year-old girl. The renovascular origin of her hypertension was suggested by a positive saralasin acetate infusion test, and the lesion was identified by use of the subtraction technique in renal arteriography. Partial nephrectomy resulted in resolution of the patient's hypertension with good function in the remaining portion of the kidney.
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