RT Journal Article
SR Electronic
T1 Arterial hypertension as an inaugural sign of myomatous uterus
JF BMJ Case Reports
JO BMJ Case Reports
FD BMJ Publishing Group Ltd
SP e243270
DO 10.1136/bcr-2021-243270
VO 14
IS 7
A1 Tânia Ascensão
A1 Helena Barros Leite
A1 Sidónio Matias
A1 Fernanda Águas
YR 2021
UL http://casereports.bmj.com/content/14/7/e243270.abstract
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.