Renal colic as the first symptom of acute renal vein thrombosis, resulting in the diagnosis of nephrotic syndrome.
Renal vein thrombosis is a well-known complication of nephrotic syndrome, but rarely its first or only symptom. We describe a 26-year-old patient presenting with flank pain suggestive of renal colic. A computed tomography scan showed acute renal vein thrombosis, the only sign of a later diagnosed nephrotic syndrome. This is a rare presentation of a renal vein thrombosis caused by nephrotic syndrome, and easily misdiagnosed as renal calculi especially in young and otherwise asymptomatic patients.
Decoster
Tanja
T
Department of Emergency Medicine, University Hospital Antwerp, Belgium. veerle.schwagten@uza.be
Schwagten
Veerle
V
Hendriks
Jeroen
J
Beaucourt
Luc
L
D000328:Adult; D003085:Colic / Q000209:etiology*; D021501:Flank Pain / Q000209:etiology; D015433:Glomerulonephritis, Membranous / Q000150:complications / Q000175:diagnosis; D006417:Hematuria / Q000209:etiology; D006801:Humans; D007674:Kidney Diseases / Q000209:etiology*; D008297:Male; D009325:Nausea / Q000209:etiology; D009404:Nephrotic Syndrome / Q000150:complications / Q000175:diagnosis*; D012082:Renal Veins / Q000473:pathology; D016306:Vena Cava Filters; D020246:Venous Thrombosis / Q000175:diagnosis* / Q000209:etiology*