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CASE REPORT
Year : 2016  |  Volume : 25  |  Issue : 2  |  Page : 192-196

Anomalous renal artery is potential cause of resistant hypertension in a 53 year old patient: Case report


1 Nephrology Unit, Department of Medicine, Gbagada General Hospital, Gbagada, Nigeria
2 Department of Medicine, Lagos University Teaching Hospital, Lagos, Nigeria

Correspondence Address:
A A Busari
Nephrology Unit, Department of Medicine, Gbagada General Hospital, Gbagada
Nigeria
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Source of Support: None, Conflict of Interest: None


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BACKGROUND: Drug-resistant hypertension can be attributable to secondary hypertension and other causes. Anomalous renal artery is uncommon but can be a potential cause of resistant hypertension. CASE REPORT: We highlight the challenges in management of resistant hypertension and describe its unusual association with renal artery anomaly in 53 years old man who was referred to our nephrology clinic from a peripheral general hospital on account of poorly controlled hypertension. At presentation, BP was severely elevated at 208/100mmHg but no remarkable findings in the rest of the examination. Several investigations done including abdominal ultrasound scan and Computerised Tomography (CT) Renal angiogram revealed a Left anomalous renal artery. Patient declined all suggested urologic interventions and he was then managed conservatively. CONCLUSION: We found that anomalous renal arteries can be a potential cause of resistant hypertension. We therefore recommend ultrasound scan of the abdomen as a screening modality due to its being non-invasive.


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