[Left renal vein thrombosis with exception diagnostic circumstances. Success of an unusual surgical treatment].
The presentation of cystitis associated with lumbago in a young woman lead to the discovery on IVU of left pyelitic irregularities. Ultrasound demonstrated a non-homogeneous lateral pyelitic mass. Because we suspected a vascular aetiology, we performed arteriography: arteries were normal, the renal vein was not visualized, but opacities caused by peripyelitic varices being drained by a much dilated lumbo-ovarian vein which gave a normal intramyometrial phlebographic picture, were seen. Selective catheterization of the renal vein was not possible to perform. Was this then a case of agenesis or thrombosis? Tomography didn't help decide. The persistence of severe pain contraindicated lumbotomy, and the presence of a wide but flat and impermeable renal vein. A complete denervation of the kidney was carried out. The normal artery and the ovarian vein were preserved intact. The follow-up was straight forward-routine IVU was normal. The pains disappeared.
D000328:Adult; D000792:Angiography; D001416:Back Pain; D003714:Denervation; D005260:Female; D006801:Humans; D007668:Kidney / Q000294:innervation; D012082:Renal Veins; D013924:Thrombophlebitis / Q000175:diagnosis / Q000601:surgery*; D014463:Ultrasonography
Thrombose veineuse rénale gauche de circonstances diagnostiques exceptionnelles. Succès d'un traitement chirurgical inhabituel.