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Case Reports
. 2021 Mar 29;14(3):e236619.
doi: 10.1136/bcr-2020-236619.

Delayed renal transplant failure secondary to renal vein thrombosis in a patient with a permanent IVC filter

Kristyn L Lewis  1 , Payal Patel  2 , Hani M Wadei  3 , Pramod K Guru  4
Affiliations
Case Reports

Delayed renal transplant failure secondary to renal vein thrombosis in a patient with a permanent IVC filter

Kristyn L Lewis et al. BMJ Case Rep. .

Abstract

Renal vein thrombosis is a rare, but potentially serious complication in patients with renal transplantation as it can lead to non-reversible graft injury and failure. Often this clinical entity is found in the early transplantation period, and the available management strategies are associated with favourable patient outcomes. The incidence, pathophysiology and outcomes for the delayed occurrence of renal vein thrombosis are unknown. The case here describes a unique situation with an excellent clinical outcome related to early diagnosis and appropriate care.

Keywords: adult intensive care; capillary; interventional radiology; renal system; renal transplantation.

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Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
Abdominal subtractions angiography, coronal view, showing extensive ileocaval thrombosis (black arrows) and the associated inferior vena cava filter (blue arrow).
Figure 2
Figure 2
View of the clot at the origin of the transplanted renal vein and the external iliac vein (black arrow).
Figure 3
Figure 3
Improvements can be seen in the blood vessel lumen in the iliac vein (black arrow) and the transplanted renal vein (blue arrows) after the use of AngioJet pharmacomechanical thrombectomy.
See this image and copyright information in PMC

References

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