The acute page kidney phenomenon occurs as a consequence of external compression of the renal parenchyma leading to renal ischemia and hypertension. Page kidney phenomenon is a well-known condition in which an extrinsically compressed kidney results in hypertension and loss of renal function. It should be always considered among the acute complications of renal transplantation. Prompt recognition and early intervention are essential to restore renal function before irreversible damage occurs. Main causes of Page kidney include: Due to trauma, Secondary to interventions (kidney biopsy, ESWL, post operative, sympathetic block), Spontaneous bleeding (pancreatitis, Warfarin therapy, poly arteritis nodosa, tumors), lymphoceles, large simple cysts, urinomas and retroperitoneal paraganglionomas.