Perinatal Renal Vein Thrombosis: Role of Imaging in the Initial Diagnosis

Ana Filipa Forjaco Jorge; Pedro Rodriguez Rios Riesenberger; Maria Eugénia Trindade Soares

doi:10.5334/jbsr.3263

Abstract

We report the case of a neonate who presented with a left abdominal flank mass and hemodynamic instability signs, with the final diagnosis of left renal vein thrombosis complicated with inferior vena cava thrombosis and perirenal hematoma. We illustrate the importance of an early imaging approach with ultrasound and Doppler evaluation to finally diagnose perinatal renal vein thrombosis and its complications.

Teaching Point: An early imaging approach with ultrasound and Doppler evaluation is fundamental to finally diagnose perinatal renal vein thrombosis and its complications.

References

Kayemba-Kay’s S. Spontaneous neonatal renal vein thrombosis, a known pathology without clear management guidelines: An overview. Int J Pediatr Adolesc Med. 2020; 7(1): 33–37. DOI: 10.1016/j.ijpam.2019.07.001
Open DOI Search in Google Scholar Back to article
Elsaify WM. Neonatal renal vein thrombosis: Grey-scale and Doppler ultrasonic features. Abdom Imaging. 2009; 34(3): 413–8. DOI: 10.1007/s00261-008-9394-6
Open DOI Search in Google Scholar Back to article
Rosenbaum DM, Korngold E, Teele RL. Sonographic assessment of renal length in normal children. AJR Am J Roentgenol. 1984; 142: 467–9. DOI: 10.2214/ajr.142.3.467
Open DOI Search in Google Scholar Back to article
Resontoc LP, Yap HK. Renal vascular thrombosis in the newborn. Pediatr Nephrol. 2016; 31(6): 907–15. DOI: 10.1007/s00467-015-3160-0
Open DOI Search in Google Scholar Back to article
Cremin BJ, Davey H, Oleszczuk-Raszke K. Neonatal renal venous thrombosis: Sequential ultrasonic appearances. Clinical Radiology. 1991; 44(1): 52–55. DOI: 10.1016/S0009-9260(05)80228-4
Open DOI Search in Google Scholar Back to article
Barrio AH, Herrero CG, Molina MM, et al. Neonatal renal vein thrombosis: Early diagnosis using Doppler ultrasonography and long-term sequelae. Radiologia. 2009; 51(6): 583–90. DOI: 10.1016/j.rx.2009.02.008
Open DOI Search in Google Scholar Back to article
Reimold EW, Wittel RA. Renal venous thrombosis in children: Changes in management. South Med J. 1983; 76(10): 1277–84. DOI: 10.1097/00007611-198310000-00021
Open DOI Search in Google Scholar Back to article

Perinatal Renal Vein Thrombosis: Role of Imaging in the Initial Diagnosis

Abstract

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