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Acute Renal Vein Thrombosis

 Syn. Acute RVT

Signs & Symptoms

 Symptoms of renal infarction
Ref: Uptodate [ Renal vein thrombosis and hypercoagulable state in nephrotic syndrome]
Bilateral involvement
Ref: Harrison [ 2167]
Flank pain
Note: due to renal infarction
Ref: Uptodate [ Renal vein thrombosis and hypercoagulable state in nephrotic syndrome]
Gross hematuria
Note: due to renal infarction
Ref: Uptodate [ Renal vein thrombosis and hypercoagulable state in nephrotic syndrome]

Physical Examination

 Tenderness
Ref: Harrison [ 2167]

Lab / Serology

 Marked elevation in serum lactate dehydrogenase
Note: due to renal infarction
Ref: Uptodate [ Renal vein thrombosis and hypercoagulable state in nephrotic syndrome]
Microscopic hematuria
Note: due to renal infarction
Ref: Uptodate [ Renal vein thrombosis and hypercoagulable state in nephrotic syndrome]
Homocystinuria
Ref: Harrison [ 2167]

Imagin Study

 Clot in renal vein
Note: Gold standard diagnostic test for RVT is selective renal venography
Ref: Uptodate [ Renal vein thrombosis and hypercoagulable state in nephrotic syndrome]
Increase in renal size on radiographic study
Note: due to renal infarction
Ref: Uptodate [ Renal vein thrombosis and hypercoagulable state in nephrotic syndrome]

Complication

 Significant proteinuria
Ref: Uptodate [ Renal vein thrombosis and hypercoagulable state in nephrotic syndrome] Harrison [ 2167]

Risk Factors

Cause

Other