Renovascular Hypertension and Seemingly Non-functioning Kidney Renewed Following Auto-transplantation: Pearls from Over Two Decades of Follow-up

Introduction: Renovascular hypertension is among the significant causes of severe in pediatrics. Primary therapeutic approaches, including drug therapy or angioplasty, are not always feasible, and their effectiveness variable. Meanwhile, several conditions leading to renal function impairment, artery stenosis, may represent respective kidney as an apparently non-functioning organ various imaging modalities. We aim demonstrate that only body a child with non-treated renovascular stenosis ipsilateral kidney. This alive protected from by stenosis. Renal autotransplantation (RAT) can be superior nephrectomy such cases protect hypertension. phenomenon confirmed controlled hypertrophy transplanted accompanied shrinkage contralateral compensatory hypertrophy. Case Presentation: introduce 14-year-old history diagnosed seven years ago, presenting resistance four-drug therapy. scintigraphy intravenous pyelography found no activity pertaining relative kidney, angiography exhibited preserved blood circulation. successfully restored based on pre-and post-surgery decreased pressure normal limits. Conclusions: Our experience shows we cannot mark "non-functioning" basis preliminary findings conventional modalities, pyelography, scintigraphy, duplex ultrasound. Moreover, angioplasty failed auto-transplantation safe alternative promising outcomes patients hypertension, being able restore