Search our site 
Advanced Search

Home | Contact us | About us |


You are in Home >> Key Topics >> Trauma

Hypertension Post – Renal Trauma

Created: 14/2/2007
Updated: 16/4/2007


Hypertension Post – Renal Trauma

  • Hypertension is rarely noted in the early postinjury period
  • Data for hypertension in the long-term is lacking presumably because patients do not attend for follow-up


The development of hypertension is related to

  • 1 Renal artery injury or thrombosis
  • 2 Compression of the renal parenchyma by haematoma or fibrosis
  • 3 Post traumatic arteriovenous fistulae

NB -These can lead to renal ischaemia, excess renin production and ultimately hypertension

  • The exact incidence of hypertension post renal trauma is unknown
  • Older studies rates report incidence up to 5%
  • However, more recent studies occurs in less than 1% and certainly the risk of hypertension alone does not warrant surgical exploration in cases with non-perfused renal segments
  • Surgical treatment of hypertension maybe indicated in those patients who do not respond to medical therapy
  • As follow-up most clinicians would advise an regular blood pressure checks within the 1st year and annually thereafter


Varying course of hypertension following renal trauma.
von Knorring J, Fyhrquist F, Ahonen J.
J Urol. 1981 Dec;126(6):798-801.

Hypertension following renal trauma.
Watts RA, Hoffbrand BI.
J Hum Hypertens. 1987 Sep;1(2):65-71.

Efficacy of nephrectomy for the treatment of nephrogenic hypertension in a pediatric population.
Baez-Trinidad LG, Lendvay TS, Broecker BH, Smith EA, Warshaw BL, Hymes L, Kirsch AJ.
J Urol. 2003 Oct;170(4 Pt 2):1655-7; discussion 1658

Blunt renal trauma-induced hypertension: prevalence, presentation, and outcome.
Chedid A, Le Coz S, Rossignol P, Bobrie G, Herpin D, Plouin PF.
Am J Hypertens. 2006 May;19(5):500-4.

SiteSection: Article

Login Status  

You are not currently logged in.
UK/Ireland Registration
Overseas Registration

  Forgot your password?

All rights reserved © 2008.

UrologyUK has been developed by AnaesthesiaUK.