Renal vein thrombosis

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Renal vein thrombosis
Classification and external resources

The anterior surfaces of the kidneys, showing the areas of contact of neighboring viscera.
ICD-10 I82.3
ICD-9 453.3
DiseasesDB 11359
MedlinePlus 000513
eMedicine med/2005 radio/887

Renal vein thrombosis (RVT) is the formation of a clot or thrombus obstructing the renal vein, leading to a reduction in drainage of the kidney.

Contents

Presentation [edit]

This thrombosis can lead to imbalances in blood clotting factor. Its symptoms may include blood in urine or being diminished in volume.

The primary cause of RVT is dehydration or nephrotic syndrome. Membranous Glomerulonephropathy is most commonly associated with RVT, followed by Membranoproliferative Glomerulonephritis.

Secondary causes of RVT are trauma, extrinsic compression (Lymph node, tumor, aortic aneurysm), Invasive Renal Cell Carcinoma, Pregnancy and Oral Contraceptive usage.

Diagnosis [edit]

CT showing dilatation and thrombosis of the left renal vein in a patient with nutcracker syndrome

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CT angiography can be used in diagnosis.[1]

Treatment [edit]

Surgery to remove the clot is possible, but rarely performed.

Anticoagulation therapy can have some benefits.[2]

See also [edit]

References [edit]

  1. ^ Asghar M, Ahmed K, Shah SS, Siddique MK, Dasgupta P, Khan MS (2007). "Renal vein thrombosis". European Journal of Vascular and Endovascular Surgery 34 (2): 217–23. doi:10.1016/j.ejvs.2007.02.017. PMID 17543556. 
  2. ^ Zigman A, Yazbeck S, Emil S, Nguyen L (2000). "Renal vein thrombosis: a 10-year review". J. Pediatr. Surg. 35 (11): 1540–2. doi:10.1053/jpsu.2000.18302. PMID 11083418. 

External links [edit]