Isolated renal vein thrombosis after blunt trauma.
Renal vein thrombosis typically occurs in the setting of nephrotic syndrome, tumor thrombus, primary retroperitoneal processes with vein compression, oral contraceptive use, steroid therapy, transplanted kidney, or trauma. Trauma-induced renal vein thrombosis usually presents in combination with renal arterial or parenchymal injury. We report a case of isolated renal vein thrombosis secondary to blunt abdominal and flank trauma. The diagnosis was made with computed tomography, which revealed a filling defect in the affected renal vein and persistent nephrogram on delayed images. In general, conservative management is the preferred treatment approach with anticoagulation.
Kau
Eric
E
Department of Urology, New York University School of Medicine, New York, New York 10016, USA.
Patel
Rupa
R
Fiske
Joshua
J
Shah
Ojas
O
D000007:Abdominal Injuries / Q000150:complications* / Q000000981:diagnostic imaging; D015746:Abdominal Pain / Q000209:etiology; D000328:Adult; D000925:Anticoagulants / Q000627:therapeutic use; D019567:Back Injuries / Q000150:complications* / Q000000981:diagnostic imaging; D021501:Flank Pain / Q000209:etiology; D006417:Hematuria / Q000209:etiology; D006801:Humans; D008297:Male; D011329:Prisoners; D012082:Renal Veins; D014057:Tomography, X-Ray Computed; D020246:Venous Thrombosis / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D014754:Violence; D014949:Wounds, Nonpenetrating / Q000150:complications* / Q000000981:diagnostic imaging
D000925:Anticoagulants