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Postgraduate Medical Journal 1999;75:730-731; doi:10.1136/pgmj.75.890.730
Copyright © 1999 The Fellowship of Postgraduate Medicine.
Postgrad Med J 1999;75:730-731 ( December )

Short report

Hypertensive encephalopathy in a patient with retroperitoneal fibrosis D Dasa, J Briggb, C M Browna

a Lancaster Royal Infirmary, Lancaster, UK Department of Medicine, b Department of Surgery

Correspondence to: Dr D Das, Consultant Physician, Stepping Hill Hospital, Stockport, SK2 7JE, UK

Accepted 7 June 1999

A patient presented with retroperitoneal fibrosis but without any ureteric obstruction. The diagnosis was made by an abdominal CT scan and also at laparotomy. Post-operatively, she developed hypertensive encephalopathy. An isotope renogram with captopril was abnormal but not diagnostic of renal artery stenosis. The patient's condition improved with steroid and antihypertensive treatment. A follow-up CT scan showed complete resolution of peri-aortic thickening. A causative link is postulated between retroperitoneal fibrosis, trauma during laparotmy, and onset of acute hypertension.


Keywords: retroperitoneal fibrosis; hypertensive encephalopathy

© 1999 by The Fellowship of Postgraduate Medicine
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