Renal Vein Thrombosis

Overview

Renal Vein Thrombosis

Also Known As : -

Description

Symptons

• May be mild or absent
• Some patients present with shortness of breath due to a clot in the lung (i.e., pulmonary embolus).
• If it occurs suddenly : -
1. Back or flank pain (pain in the upper back to the sides)
2. Hematuria or Blood in the Urine
3. Low urine volume

Cause

• Blood clots form when normally liquid blood thickens, or its flow slows down and becomes stagnant.
• Causes of blood clot formation : -


1. Trauma to back or abdomen will damage the vein or scar it, and slow the normal blood flow.



2. Malignant (invasive/cancer) renal tumors such as Renal Cell Carcinomas can invade the vein and cause blockage to blood flow.



3. External compression of the vein from pregnancy, tumors of the abdomen, or narrowing or strictures of the major vein known as the inferior vena cava.



4. Nephrotic Syndrome - membranous glomerulonephropathy



• Dehydration in infants

• History of symptoms, illnesses, past history of Thrombosis, allergies, medications, surgeries (especially abdominal or vascular), family history, and habits



• Medical exam may reveal flank or back pain.



• Urinalysis under a microscope may reveal red blood cells.



• Blood tests may reveal high levels of kidney chemical known as LDH enzyme.



• X-Ray, Ultrasound, MRI or CAT scan are radiographic techniques that can show the size (often enlarged kidney), structure, and clot location in the kidneys.



• Venography, done by injecting a dye (coloring) into the veins and then X-Raying the area, can show the location of the renal vein narrowing or clotting.

Risk Factors

• See causes
• Problems with substances that alter blood viscosity (fluidity) : -
1. Platelets abnormalities
2. Increased Fibrinogen levels
3. Decreased Antithrombin III
4. Protein C and S deficiency
5. Anticardiolipin syndrome
6. Oral contraceptives
7. Estrogen therapy
8. Thrombophlebitis migrans

Treatment

• Hydration with intravenous fluids may help.



• Thinning the blood first with Heparin (intravenously) and then orally with Warfarin pills, which may need to be continued.



• Surgical removal of the clot (thrombectomy), removal of the infarcted kidney (nephrectomy), or inserting a flexible tube to reopen the blocked vein (recanalization ) are other options.

Complication

• Renal failure can occur.
• Renal infarction -- the segment of kidney dies
• Pulmonary Emboli can occur.
• Death is rare.

Similar Condition

• Nephrotic Syndrome
• Pyelonephritis
• Herniated Disc
• Pulmonary Emboli
• Kidney Stones

The list of of Vascular Surgery Hospitals in India is as follows : -

	Apollo Hospitals, Bangalore, India
	Apollo Hospital, Chennai, India
	Apollo Hospitals, Hyderabad, India
	Indraprastha Apollo Hospital, Delhi, India
	Apollo Gleneagles Hospital, Kolkata, India
	Apollo Hospital, Goa, India
	Wockhardt Hospital, Bangalore India
	Wockhardt Hospital, hyderabad, India
	Wockhardt Hospital, Mumbai, India
	Fortis Hospital, Delhi, India
	Fortis Hospital, Mohali, India
	Fortis Hospital, Noida, India
	Escorts Heart Institute Hospital, Delhi, India
	Manipal Hospital, Bangalore, India
	MIOT Hospital, Chennai, India
	Narayana Hrudayalaya Heart Hospital, Bangalore, India
	Artemis Hospital, Gurgaon ( Delhi ) , India
	Max Devki Devi Heart and Vascular hospital, Delhi, India
	Max Super Specialty hospital, Delhi, India
	BGS Global Hospital, Bangalore, India
	BGS Global Hospital, Chennai, India
	BGS Global Hospital, Hyderabad, India

For more information, medical assessment and medical quote send your detailed medical history and medical reports as email attachment to Email : - info@wecareindia.com Call: +91 9029304141 (10 am. To 8 pm. IST) (Only for international patients seeking treatment in India)