Bilateral renal vein thrombosis as a complication of gangrenous appendicitis.
Bilateral renal vein thrombosis after an appendectomy has never been reported in the pediatric literature. We describe the case of a 10-year-old boy who developed this very unusual complication following appendectomy for gangrenous appendicitis with peritonitis. Color duplex Doppler is the most appropriate investigation to allow correct diagnosis and immediate medical treatment. Peritoneal dialysis is a simple and effective tool to prevent permanent damage to renal function.
Nanni
L
L
Division of Pediatric Surgery, Catholic University School of Medicine, Rome, Italy. lo.nanni@katamail.com
Vallasciani
S
S
D'Urzo
C
C
Rollo
M
M
Chiaretti
A
A
Pintus
C
C
Perrelli
L
L
D001062:Appendectomy; D001064:Appendicitis / Q000601:surgery*; D001065:Appendix / Q000473:pathology* / Q000601:surgery; D002648:Child; D005734:Gangrene / Q000473:pathology; D006801:Humans; D007668:Kidney / Q000098:blood supply / Q000000981:diagnostic imaging; D008297:Male; D010538:Peritonitis / Q000209:etiology; D011183:Postoperative Complications; D012082:Renal Veins / Q000000981:diagnostic imaging; D018615:Ultrasonography, Doppler, Color; D020246:Venous Thrombosis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery