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Published on: June 21, 2024
Sonographic Findings in Fetal Renal Vein Thrombosis
Rebecca E Gerber1, Bryann Bromley1, Carol B Benson1
1Departments of Radiology (R.E.G., C.B.B., M.C.F.) and Obstetrics and Gynecology (B.B.), Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts USA; and Department of Obstetrics and Gynecology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts USA (B.B.).
Abstract:
We present the sonographic findings of fetal renal vein thrombosis in a series of 6 patients. The mean gestational age at diagnosis was 31.2 weeks. Four cases were unilateral, and 2 were bilateral. The most common findings were renal enlargement and intrarenal vascular calcifications, followed by increased renal parenchymal echogenicity. Inferior vena cava thrombosis was found in 4 patients and common iliac vein thrombosis in 2. Fetal renal vein thrombosis is an uncommon diagnosis with characteristic sonographic findings. The presence of these findings should prompt Doppler interrogation of the renal vein and inferior vena cava to confirm the diagnosis.
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