Late-onset renal vein thrombosis: A case report and review of the literature
| Autor: | Timothy M. Schmitt, Atta Nawabi, Shenequa L. Deas, S J Rosenthal, Sri G. Yarlagadda, Sean C. Kumer, Bruce Kaplan, Jill Jones, Jessica L. Hogan |
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| Rok vydání: | 2015 |
| Předmět: |
medicine.medical_specialty
Ovarian cyst business.industry Ultrasound Renal vein thrombosis Late onset medicine.disease Graft loss Simultaneous kidney pancreas transplant Article Transplantation Mechanical thrombectomy medicine Surgery Radiology Late-onset renal allograft dysfunction business Complication |
| Zdroj: | International Journal of Surgery Case Reports |
| ISSN: | 2210-2612 |
| DOI: | 10.1016/j.ijscr.2014.09.027 |
| Popis: | INTRODUCTIONRenal vein thrombosis, a rare complication of renal transplantation, often causes graft loss. Diagnosis includes ultrasound with Doppler, and it is often treated with anticoagulation or mechanical thrombectomy. Success is improved with early diagnosis and institution of treatment.PRESENTATION OF CASEWe report here the case of a 29 year-old female with sudden development of very late-onset renal vein thrombosis after simultaneous kidney pancreas transplant. This resolved initially with thrombectomy, stenting and anticoagulation, but thrombosis recurred, necessitating operative intervention. Intraoperatively the renal vein was discovered to be compressed by a large ovarian cyst.DISCUSSIONCompression of the renal vein by a lymphocele or hematoma is a known cause of thrombosis, but this is the first documented case of compression and thrombosis due to an ovarian cyst.CONCLUSIONEarly detection and treatment of renal vein thrombosis is paramount to restoring renal allograft function. Any woman of childbearing age may have thrombosis due to compression by an ovarian cyst, and screening for this possibility may improve long-term graft function in this population. |
| Databáze: | OpenAIRE |
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