Renal vein thrombosis

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Renal vein thrombosis
Diagram of the kidneys and surrounding structures
Synonyms
Pronounce N/A
Specialty N/A
Symptoms Flank pain, hematuria, proteinuria, edema
Complications Renal failure, pulmonary embolism
Onset
Duration
Types
Causes Dehydration, nephrotic syndrome, hypercoagulability
Risks Cancer, trauma, oral contraceptive use
Diagnosis Ultrasound, CT scan, MRI, renal venography
Differential diagnosis Renal artery stenosis, pyelonephritis, kidney stones
Prevention
Treatment Anticoagulation, thrombolysis, surgery
Medication Heparin, warfarin
Prognosis
Frequency
Deaths


Renal vein thrombosis

Renal vein thrombosis is a blood clot that develops in the renal vein, which carries blood away from the kidney. This condition can cause kidney damage and high blood pressure.

Causes

Renal vein thrombosis is often caused by conditions that increase the risk of blood clots, such as nephrotic syndrome, cancer, trauma, surgery, or genetic disorders that make blood more likely to clot. It can also occur as a complication of kidney transplants.

Symptoms

Symptoms of renal vein thrombosis can vary depending on the speed at which the clot forms. In acute cases, symptoms may include abdominal pain, blood in the urine, and a decrease in kidney function. In chronic cases, symptoms may be less noticeable and can include protein in the urine, swelling, and high blood pressure.

Diagnosis

Renal vein thrombosis is diagnosed through a variety of tests, including blood tests, urine tests, ultrasound, CT scan, and MRI. These tests can help determine the presence and location of the clot, as well as the extent of any kidney damage.

Treatment

Treatment for renal vein thrombosis typically involves anticoagulant medications to prevent further clotting and to help dissolve the existing clot. In some cases, surgery may be necessary to remove the clot or to treat any underlying conditions that may have contributed to its formation.

Prognosis

The prognosis for renal vein thrombosis can vary depending on the underlying cause and the extent of the kidney damage. With prompt treatment, many people can recover fully. However, in some cases, renal vein thrombosis can lead to long-term kidney damage or kidney failure.

See also

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Contributors: Prab R. Tumpati, MD