PT  - JOURNAL ARTICLE
AU  - Tânia Ascensão
AU  - Helena Barros Leite
AU  - Sidónio Matias
AU  - Fernanda Águas
TI  - Arterial hypertension as an inaugural sign of myomatous uterus
AID  - 10.1136/bcr-2021-243270
DP  - 2021 Jul 01
TA  - BMJ Case Reports
PG  - e243270
VI  - 14
IP  - 7
4099  - http://casereports.bmj.com/content/14/7/e243270.short
4100  - http://casereports.bmj.com/content/14/7/e243270.full
SO  - BMJ Case Reports2021 Jul 01; 14
AB  - Uterine fibroids can be large enough to cause mechanical obstruction of pelvic ureters, which may result in hydroureters and hydronephrosis. Renal impairment frequently results in hypertension due to increased activity of the tubuloglomerular feedback system and renin–angiotensin–aldosterone axis. This process, however, seems reversible because normalisation of blood pressure is possible after the relief of renal obstruction. We report a rare case of a nulliparous woman with a myomatous uterus and an isolated initial complaint of high blood pressure. After proper diagnostic investigation, a uterine mass of 20 cm causing bilateral hydronephrosis was discovered. A successful myomectomy was conducted, which achieved an intact endometrium lining with posterior normalisation of blood pressure.