Page Kidney in a Solid-organ Transplant Recipient with Acute Renal Failure and Arterial Hypertension

Page kidney (Page phenomenon) is a rare and treatable cause of hypertension which can occur if a haematoma, leading to extrinsic compression, occurs after renal transplant biopsy. The renin-angiotensin-aldosterone system is activated leading to hypertension. This case report is that of a male in his 70s who had a renal transplant biopsy of his transplanted kidney and subsequently developed Page phenomenon as a result of an expanding haematoma. He developed elevated blood pressure (BP) along with a decrease in his renal function. Surgical intervention was used to salvage his transplanted kidney. The index case highlights the importance of being aware of the signs of Page kidney to ensure early recognition and intervention. To our knowledge, this is the first case of a Page kidney in a renal allograft documented in the Caribbean region.