ISSN: 1305-385X
Hakkında: Özel sayılar şeklinde yayınlanır.
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Renal Vein Thrombosis
Dr. İbrahim AKDAĞa
aNefroloji BD, Uludağ Üniversitesi Tıp Fakültesi, BURSA
Renal vein thrombosis (RVT) is a serious proceses which might lead to either renal failure or to secondary thromboembolic conditions. Renal vein thrombosis is rare in ambulatory subjects who are not nephrotic syndrome. Some reported causes include trauma to the abdomen or back, oral contraceptives, stricture (scar formation) and inherited pro-coagulant defects, severe dehydration or it may occur because of a tumor. The clinical presentation of RVT largely depends on the rate and degree of renal vein occlusion, the extension of the thrombosis, and the subsequent development of collaterals. Acute RVT is characterized by abrupt onset of flank pain, nausea, vomiting, and gross or microscopic hematuria. Often, chronic RVT produces few or no clinical manifestations; it frequently goes undiagnosed until a patient with nephrotic syndrome has developed a pulmonary embolism or deep vein thrombosis (DVT) or has suffered an abrupt decline in renal function. The gold standards for the diagnosis of RVT are selective renal venography, spiral computerized tomography (CT) scanning, or magnetic resonance imaging (MRI). The treatment of RVT has evolved from nephrectomy to thrombectomy to trombolitic and anticoagulation, which is currently the standard treatment of choice.Keywords: Renal veins; venous thrombosis; nephrotic syndrome; thromboembolismTurkiye Klinikleri J Int Med Sci 2007, 3(4):14-16
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