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Case Reports
. 2014 Dec 24:8:462.
doi: 10.1186/1752-1947-8-462.

Renal vein thrombosis in the post-partum period: a case report

Abdelilah Mouhsine  1 , Ahmed Belkouch, El Mehdi Atmane, Redouane Rokhssi, Youssef Berrada, Lahcen Belyamani, Mbarek Mahfoudi, Abdelghani El Fikri
Affiliations
Case Reports

Renal vein thrombosis in the post-partum period: a case report

Abdelilah Mouhsine et al. J Med Case Rep. .

Abstract

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.

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Figures

Figure 1
Figure 1
Computed tomography axial section after injection of contrast medium in parenchymal time showing a large thrombus in the left renal vein extending from the segmental renal veins to the inferior vena cava, complicated by cortical infarction.
Figure 2
Figure 2
Computed tomography scan after injection of contrast medium in parenchymal window showing infarction of the lower pole of the left kidney.
See this image and copyright information in PMC

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