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Bilateral renal artery stenosis due to fibromuscular dysplasia presenting as superimposed pre-eclampsia
  1. Aruna Munasinghe1,
  2. Lilantha Wedisinghe1,
  3. Thin Han2 and
  4. Rajit Narayan3
  1. 1Department of Obstetrics and Gynaecology, Rockhampton Hospital, Central Queensland Hospital and Health Service, Rockhampton, Queensland, Australia
  2. 2Department of Medicine and Nephrology, Rockhampton Hospital and University of Queensland Rural Clinical School—Rockhampton Campus, Rockhampton, Queensland, Australia
  3. 3Royal Prince Alfred Hospital, Camperdown, New South Wales, Australia
  1. Correspondence to Dr Aruna Munasinghe; aruna_sm27{at}yahoo.co.uk

Abstract

Renal vascular hypertension is a diagnosis that needs to be entertained in the setting of refractory, otherwise unexplained hypertension in pregnancy. Conclusive diagnosis of the condition is made by the use of angiography, which confers only a low, safe dose of radiation to the fetus, especially after the first trimester. Percutaneous angioplasty is effective in treating this condition and is best performed postnatally to avoid fetal exposure to ionising radiation. While it could be managed pharmacologically, more refractory cases in pregnancy may be offered interventional treatment.

  • pregnancy
  • hypertension

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Footnotes

  • Contributors All authors agree to be accountable for all aspects of the work. AM drafted the work and was involved in acquisition, analysis and interpretation of data. He also contributed to the conception of the work and critical revision for intellectual content. LW drafted the work and revised it critically for important intellectual content. TH revised the work critically for important intellectual content, especially with regards to renal medicine. RN contributed to the conception of the work and analysis of data. He revised it critically for important intellectual content. AM will attend to the final approval of the version published.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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