Renal venous diversion: an unusual treatment for renal vein thrombosis.
Renal venous thrombosis most commonly occurs in the setting of nephrotic syndrome, hypercoagulability, or dehydration. This can usually be treated with systemic anticoagulation, and the diversion is via natural draining tributaries, eg, adrenal, lumbar, or gonadal veins. Occasionally, renal venous thrombosis results from extension of a thrombotic process, such as a large renal cell carcinoma with tumor thrombus extension into the infrahepatic inferior vena cava resulting in thrombosis of the inferior vena cava and contralateral renal vein. Herein, we report a case of left renal vein thrombosis relieved by diversion through the inferior mesenteric vein.
Ho
Karen J
KJ
Department of General Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, Mass. 02115, USA.
Owens
Christopher D
CD
Ledbetter
Stephen M
SM
Chew
David K
DK
Belkin
Michael
M
D000714:Anastomosis, Surgical; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D012082:Renal Veins / Q000601:surgery*; D012086:Reoperation; D014057:Tomography, X-Ray Computed; D014656:Vascular Surgical Procedures / Q000379:methods*; D016306:Vena Cava Filters; D014682:Vena Cava, Inferior; D020246:Venous Thrombosis / Q000175:diagnosis / Q000601:surgery*