title: Complete renal recovery from severe acute renal failure after thrombolysis of bilateral renal vein thrombosis.
abstract: A previously healthy young man presented with acute renal failure due to extensive spontaneous deep vein thrombosis, including the inferior vena cava (IVC) and both renal veins. The patient was treated with selectively delivered thrombolytic therapy over a 7-day-period, which resulted in renal vein patency and complete recovery of renal function. A stent was placed over a segment stenosis of the IVC. No thrombophilic factors were identified. Bilateral renal vein thrombosis in young fit individuals is an unusual cause of acute renal failure. Thrombolytic therapy, even with delay, can completely restore renal function.
authors.affiliation: Department of Medicine , Worcestershire Royal Hospital , Worcester , UK.
authors.forename: Suresh
authors.initials: S
authors.lastname: Ramadoss
authors.affiliation: Department of Radiology , University Hospital Birmingham NHS Foundation Trust , Birmingham , UK.
authors.forename: Robert G
authors.initials: RG
authors.lastname: Jones
authors.affiliation: Department of Renal Medicine , University Hospital Birmingham NHS Foundation Trust , Birmingham , UK.
authors.forename: Lukas
authors.initials: L
authors.lastname: Foggensteiner
authors.affiliation: Department of Radiology , University Hospital Birmingham NHS Foundation Trust , Birmingham , UK.
authors.forename: Andrew P
authors.initials: AP
authors.lastname: Willis
authors.affiliation: Department of Radiology , University Hospital Birmingham NHS Foundation Trust , Birmingham , UK.
authors.forename: Martin J
authors.initials: MJ
authors.lastname: Duddy
keywords: acute bilateral renal venous thrombosis; inferior vena cava; renal failure; thrombolysis