Arterial hypertension as an inaugural sign of myomatous uterus
Arterial hypertension as an inaugural sign of myomatous uterus
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DOI：
10.1136/bcr-2021-243270
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发表时间：
2021-07-01
期刊：
影响因子：
0.9
通讯作者：
Aguas, Fernanda
中科院分区：
文献类型：
--
作者：
Ascensao, Tania;Leite, Helena Barros;Aguas, Fernanda
Uterine fibroids can be large enough to cause mechanical obstruction of pelvic ureters, which may result in hydroureters and hydronephrosis. Renal impairment frequently results in hypertension due to increased activity of the tubuloglomerular feedback system and renin-angiotensin-aldosterone axis. This process, however, seems reversible because normalisation of blood pressure is possible after the relief of renal obstruction. We report a rare case of a nulliparous woman with a myomatous uterus and an isolated initial complaint of high blood pressure. After proper diagnostic investigation, a uterine mass of 20 cm causing bilateral hydronephrosis was discovered. A successful myomectomy was conducted, which achieved an intact endometrium lining with posterior normalisation of blood pressure.
