Neonatal hypertension from an obstructing ureterocele and vesicoureteral reflux in a solitary kidney

Neonatal hypertension is rare, such that there are no published protocol to follow on how to evaluate and address this problem. Most cases are incidental. This is a case of neonate who was found to be hypertensive on day one life. Screening and imaging studies were done to arrive at a particular etiology. Hypertension was related to an obstructing ureterocele and "vesicoureteral reflux in a solitary kidney" with a double collecting system. After surgical correction, the anti-hypertensive medications were tapered till the hypertension completely resolved. (Author)