Journal of Medical Case Reports | |
Renal vein thrombosis in the post-partum period: a case report | |
Abdelghani El Fikri1  Mbarek Mahfoudi1  Lahcen Belyamani2  Youssef Berrada1  Redouane Rokhssi1  El Mehdi Atmane1  Ahmed Belkouch2  Abdelilah Mouhsine1  | |
[1] Department of Radiology, Avicenna Military Hospital, Avenue Al Mouqaouama, Marrakech 40000, Morocco;Emergency Department, Mohamed V Military Hospital of Instruction, Hay ryad avenue des Far, Rabat 10000, Morocco | |
关键词: Venous renal infarction; Post-partum; Hypercoagulability; Hematuria; Flank pain; | |
Others : 1180857 DOI : 10.1186/1752-1947-8-462 |
|
received in 2014-09-06, accepted in 2014-11-25, 发布年份 2014 | |
【 摘 要 】
Introduction
Physiological hypercoagulability is a known condition in pregnancy designed to limit the risk of bleeding; it may exceptionally be complicated by thrombosis of the renal vein. To the best of our knowledge, this is the third case of renal venous infarction reported in the literature.
Case presentation
We report the case of a 43-year-old Caucasian woman, a mother of three sons who presented with left flank pain and hematuria. The clinical investigations did not find any other cause for her thrombophilia.
Conclusions
Clinical onset is not specific, so it is important to evoke the diagnosis in the context of pregnancy; computed tomography angiography is the investigation of choice to set the diagnosis. It is important to know that anticoagulation therapy must be initiated as soon as possible.
【 授权许可】
2014 Mouhsine et al.; licensee BioMed Central.
【 预 览 】
Files | Size | Format | View |
---|---|---|---|
20150514101216143.pdf | 570KB | download | |
Figure 2. | 110KB | Image | download |
Figure 1. | 126KB | Image | download |
【 图 表 】
Figure 1.
Figure 2.
【 参考文献 】
- [1]Mansi MK: Postpartum renal infarction secondary to spontaneous renal vein thrombosis. J Urol 2001, 165:893-894.
- [2]Tan TK, Outkerk M, EJR V b: Deep vein thrombosis and pulmonary embolism. In Vascular and endovascular surgery. Edited by Hallett JWJr, Mills JL, Earshaw JJ, Reekers JA. Edinburgh: Mosby; 2004:626.
- [3]Asghar M, Ahmed K, Shah SS, Siddique MK, Dasgupta P, Khan MS: Renal vein thrombosis. Eur J Vasc Endovasc Surg 2007, 34:217-223.
- [4]Lamy C, Mezan De Malartic C, Perdriolle E, Gauchotte E, Villeroy-de-Galhau S, Delaporte M-O, Morel O, Judlin P: Prise en charge des infections du post-abortum. J Gynecol Obstet Biol Reprod 2012, 41:904-912. [Recommandations pour la pratique clinique, elaborées par le collège national des gynécologues et obstétriciens français]
- [5]James AH: Venous thromboembolism in pregnancy. Arterioscler Thromb Vasc Biol 2009, 29:326-331.
- [6]Bremme KA: Haemostatic changes in pregnancy. Best Pract Res Clin Haematol 2003, 16:153-168.
- [7]Lindqvist P, Dahlbäck B, Marŝál K: Thrombotic risk during pregnancy: a population study. Obstet Gynecol 1999, 94:595-599.
- [8]McColl MD, Ramsay JE, Tait RC, Walker ID, McCall F, Conkie JA, Carty MJ, Greer IA: Risk factors for pregnancy associated venous thromboembolism. Thromb Haemost 1997, 78:1183-1188.
- [9]Harrison CV, Milne MD, Steiner RE: Clinical aspects of renal vein thrombosis. QJ Med 1956, 25:285-301.
- [10]Ricci MA, Lloyd DA: Renal venous thrombosis in infants and children. Arch Surg 1990, 125:1195-1199.
- [11]Radermacher J: Ultrasonography of the kidney and renal vessels. I. Normal findings, inherited and parenchymal diseases. Urologie A 2005, 44:1351-1363.
- [12]Alvarez-Castells A, Sebastia CC, Quiroga GS: Computerized tomography angiography of renal vessels. Arch Esp Urol 2001, 54:603-615.
- [13]Hodgson DJ, Jan W, Rankin S, Koffman G, Khan MS: Magnetic resonance renal angiography and venography: an analysis of 111 consecutive scans before donor nephrectomy. BJU Int 2006, 97:584-586.