Postgrad Med J 88:612-613 doi:10.1136/postgradmedj-2012-130766
  • Images in medicine

Page kidney in a patient with granulomatosis with polyangiitis (Wegener's)

  1. Kazuyuki Tobe
  1. First Department of Internal Medicine, University of Toyama, Toyama, Japan
  1. Correspondence to Dr Hirofumi Taki, First Department of Internal Medicine, University of Toyama, 2630 Sugitani, Toyama 930-0194, Japan; htaki-tym{at}
  1. Contributors HT: manuscript writing and drafting; MO, HT, KT: revising the manuscript critically for important intellectual content; MO, KS, HH, RO, HT, KT: final approval of the version to be published.


Page kidney results from a perirenal haematoma or a mass around the kidney, which causes extrinsic compression on the renal parenchyma and is a very rare cause of secondary hypertension.1 Page kidney, first described in 1939 by Page in an animal model with cellophane papers wrapped round the kidney, results in a consequent decrease in renal blood flow, hyperreninemia, hypertension and deterioration of renal function. We experienced Page kidney during a course of granulomatosis with polyangiitis (Wegener's) (GPA), with CT findings showing accumulation of blood in the perinephric space due to a spontaneous perinephric haemorrhage (SPH).

Case presentation

A 63-year-old man was referred to our hospital because of fever of …