Limits...
Renal vein thrombosis in the post-partum period: a case report.

Mouhsine A, Belkouch A, Atmane el M, Rokhssi R, Berrada Y, Belyamani L, Mahfoudi M, El Fikri A - J Med Case Rep (2014)

Bottom Line: Physiological hypercoagulability is a known condition in pregnancy designed to limit the risk of bleeding; it may exceptionally be complicated by thrombosis of the renal vein.To the best of our knowledge, this is the third case of renal venous infarction reported in the literature.We report the case of a 43-year-old Caucasian woman, a mother of three sons who presented with left flank pain and hematuria.

View Article: PubMed Central - PubMed

Affiliation: Department of Radiology, Avicenna Military Hospital, Avenue Al Mouqaouama, Marrakech 40000, Morocco. abdelilahmouhsine@yahoo.fr.

ABSTRACT

Introduction: Physiological hypercoagulability is a known condition in pregnancy designed to limit the risk of bleeding; it may exceptionally be complicated by thrombosis of the renal vein. To the best of our knowledge, this is the third case of renal venous infarction reported in the literature.

Case presentation: We report the case of a 43-year-old Caucasian woman, a mother of three sons who presented with left flank pain and hematuria. The clinical investigations did not find any other cause for her thrombophilia.

Conclusions: Clinical onset is not specific, so it is important to evoke the diagnosis in the context of pregnancy; computed tomography angiography is the investigation of choice to set the diagnosis. It is important to know that anticoagulation therapy must be initiated as soon as possible.

Show MeSH

Related in: MedlinePlus

Computed tomography axial section after injection of contrast medium in parenchymal time showing a large thrombus in the left renal vein extending from the segmental renal veins to the inferior vena cava, complicated by cortical infarction.
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
getmorefigures.php?uid=PMC4307671&req=5

Fig1: Computed tomography axial section after injection of contrast medium in parenchymal time showing a large thrombus in the left renal vein extending from the segmental renal veins to the inferior vena cava, complicated by cortical infarction.

Mentions: An abdominal ultrasound scan showed discrete pyelocalyceal cavities dilation with a slightly enlarged left kidney and without visible urinary obstruction. A CT urography and angiography scan was performed and showed an ectatic left renal vein, seat of a large hypodense thrombus extending from the segmental renal veins to the inferior vena cava, with a large heterogeneous and hypodense region located in the medium and lower poles of the left kidney without urinary tract dilatation or tumoral lesions; this aspect concluded in a perfusion abnormality (renal venous infarction) (FiguresĀ 1 and2).Figure 1


Renal vein thrombosis in the post-partum period: a case report.

Mouhsine A, Belkouch A, Atmane el M, Rokhssi R, Berrada Y, Belyamani L, Mahfoudi M, El Fikri A - J Med Case Rep (2014)

Computed tomography axial section after injection of contrast medium in parenchymal time showing a large thrombus in the left renal vein extending from the segmental renal veins to the inferior vena cava, complicated by cortical infarction.
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4307671&req=5

Fig1: Computed tomography axial section after injection of contrast medium in parenchymal time showing a large thrombus in the left renal vein extending from the segmental renal veins to the inferior vena cava, complicated by cortical infarction.
Mentions: An abdominal ultrasound scan showed discrete pyelocalyceal cavities dilation with a slightly enlarged left kidney and without visible urinary obstruction. A CT urography and angiography scan was performed and showed an ectatic left renal vein, seat of a large hypodense thrombus extending from the segmental renal veins to the inferior vena cava, with a large heterogeneous and hypodense region located in the medium and lower poles of the left kidney without urinary tract dilatation or tumoral lesions; this aspect concluded in a perfusion abnormality (renal venous infarction) (FiguresĀ 1 and2).Figure 1

Bottom Line: Physiological hypercoagulability is a known condition in pregnancy designed to limit the risk of bleeding; it may exceptionally be complicated by thrombosis of the renal vein.To the best of our knowledge, this is the third case of renal venous infarction reported in the literature.We report the case of a 43-year-old Caucasian woman, a mother of three sons who presented with left flank pain and hematuria.

View Article: PubMed Central - PubMed

Affiliation: Department of Radiology, Avicenna Military Hospital, Avenue Al Mouqaouama, Marrakech 40000, Morocco. abdelilahmouhsine@yahoo.fr.

ABSTRACT

Introduction: Physiological hypercoagulability is a known condition in pregnancy designed to limit the risk of bleeding; it may exceptionally be complicated by thrombosis of the renal vein. To the best of our knowledge, this is the third case of renal venous infarction reported in the literature.

Case presentation: We report the case of a 43-year-old Caucasian woman, a mother of three sons who presented with left flank pain and hematuria. The clinical investigations did not find any other cause for her thrombophilia.

Conclusions: Clinical onset is not specific, so it is important to evoke the diagnosis in the context of pregnancy; computed tomography angiography is the investigation of choice to set the diagnosis. It is important to know that anticoagulation therapy must be initiated as soon as possible.

Show MeSH
Related in: MedlinePlus