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A patient with spontaneous bilateral renal vein thrombosis but no risk factors
INTRODUCTION AND IMPORTANCE: Spontaneous bilateral renal vein thrombosis is a rare condition, especially when the patient has no risk factors. CASE PRESENTATION: In this report, we describe a patient with bilateral renal vein thrombosis who presented with severe flank pain, renal functions remained...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10015233/ https://www.ncbi.nlm.nih.gov/pubmed/36889156 http://dx.doi.org/10.1016/j.ijscr.2023.107963 |
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author | Pradhan, Jigyasha Han, Shiwei Girishkumar, Hanasoge |
author_facet | Pradhan, Jigyasha Han, Shiwei Girishkumar, Hanasoge |
author_sort | Pradhan, Jigyasha |
collection | PubMed |
description | INTRODUCTION AND IMPORTANCE: Spontaneous bilateral renal vein thrombosis is a rare condition, especially when the patient has no risk factors. CASE PRESENTATION: In this report, we describe a patient with bilateral renal vein thrombosis who presented with severe flank pain, renal functions remained normal, and the thrombus resolved completely with anticoagulation. There is no history of hypercoagulable condition in our patient. A one-year followup with CT angiogram revealed that the kidney was functioning normally and that the thrombus in the renal veins had completely resolved. CLINICAL DISCUSSION: Management of an acute renal vein thrombosis depends upon whether the patient presents with acute kidney injury. In general, patients without acute kidney injury can be treated with therapeutic anticoagulation, whereas those with acute kidney injury should undergo dissolution or removal of the thrombus with thrombolytic therapy with or without thrombectomy. CONCLUSION: Diagnosis of spontaneous renal vein thrombosis requires a high index of suspicion. Patient can be managed with therapeutic anticoagulation if renal function is intact. If thrombolysis and/or thrombectomy are performed on time, kidney function can be fully restored. |
format | Online Article Text |
id | pubmed-10015233 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-100152332023-03-16 A patient with spontaneous bilateral renal vein thrombosis but no risk factors Pradhan, Jigyasha Han, Shiwei Girishkumar, Hanasoge Int J Surg Case Rep Case Report INTRODUCTION AND IMPORTANCE: Spontaneous bilateral renal vein thrombosis is a rare condition, especially when the patient has no risk factors. CASE PRESENTATION: In this report, we describe a patient with bilateral renal vein thrombosis who presented with severe flank pain, renal functions remained normal, and the thrombus resolved completely with anticoagulation. There is no history of hypercoagulable condition in our patient. A one-year followup with CT angiogram revealed that the kidney was functioning normally and that the thrombus in the renal veins had completely resolved. CLINICAL DISCUSSION: Management of an acute renal vein thrombosis depends upon whether the patient presents with acute kidney injury. In general, patients without acute kidney injury can be treated with therapeutic anticoagulation, whereas those with acute kidney injury should undergo dissolution or removal of the thrombus with thrombolytic therapy with or without thrombectomy. CONCLUSION: Diagnosis of spontaneous renal vein thrombosis requires a high index of suspicion. Patient can be managed with therapeutic anticoagulation if renal function is intact. If thrombolysis and/or thrombectomy are performed on time, kidney function can be fully restored. Elsevier 2023-03-06 /pmc/articles/PMC10015233/ /pubmed/36889156 http://dx.doi.org/10.1016/j.ijscr.2023.107963 Text en © 2023 The Authors. Published by Elsevier Ltd on behalf of IJS Publishing Group Ltd. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Case Report Pradhan, Jigyasha Han, Shiwei Girishkumar, Hanasoge A patient with spontaneous bilateral renal vein thrombosis but no risk factors |
title | A patient with spontaneous bilateral renal vein thrombosis but no risk factors |
title_full | A patient with spontaneous bilateral renal vein thrombosis but no risk factors |
title_fullStr | A patient with spontaneous bilateral renal vein thrombosis but no risk factors |
title_full_unstemmed | A patient with spontaneous bilateral renal vein thrombosis but no risk factors |
title_short | A patient with spontaneous bilateral renal vein thrombosis but no risk factors |
title_sort | patient with spontaneous bilateral renal vein thrombosis but no risk factors |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10015233/ https://www.ncbi.nlm.nih.gov/pubmed/36889156 http://dx.doi.org/10.1016/j.ijscr.2023.107963 |
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