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Neonatal renal venous thrombosis: sequential ultrasonic appearances.
B J Cremin1, H Davey, K Oleszczuk-Raszke
1Department of Radiology, Red Cross War Memorial Children's Hospital, University of Cape Town, Rondebosch, South Africa.
Clinical Radiology
|July 1, 1991
Summary
Ultrasonic imaging reveals characteristic changes in renal venous thrombosis, progressing from kidney enlargement and echogenicity to potential vein or vena cava thrombosis. Outcomes vary, with kidneys potentially recovering or atrophying based on severity and examination timing.
Area of Science:
- Radiology
- Nephrology
- Vascular Imaging
Background:
- Renal venous thrombosis (RVT) is a significant vascular condition affecting the kidneys.
- Early diagnosis is crucial for patient outcomes.
- Ultrasonography is a primary imaging modality for evaluating RVT.
Observation:
- The study presents three cases of renal venous thrombosis visualized through ultrasound.
- Initial findings include enlarged, echogenic kidneys with streaking in vascular or perivascular areas.
- Ultrasound can detect thrombosis in renal veins and the inferior vena cava.
Findings:
- The echogenicity and size of the kidney change dynamically with RVT.
- Ultrasound demonstrates the extent of thrombosis, including involvement of major venous structures.
- The progression of RVT can be monitored using serial ultrasound examinations.
Implications:
- Ultrasonography provides a non-invasive method for diagnosing and monitoring renal venous thrombosis.
- Understanding the evolving ultrasonic appearances aids in assessing RVT severity and prognosis.
- This imaging approach can guide clinical management and predict kidney recovery or atrophy.