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Thrombosis in particular organ veins
R Verhaeghe1, J Vermylen, M Verstraete
1Center for Thrombosis and Vascular Research, University of Leuven, Belgium.
Herz
|October 1, 1989
Summary
Renal vein thrombosis, a condition affecting infants and adults, presents with varied symptoms and is often managed conservatively with anticoagulants. Early diagnosis through imaging and prompt treatment can lead to favorable outcomes.
Area of Science:
- Vascular Medicine
- Nephrology
- Gastroenterology
Background:
- Renal vein thrombosis (RVT) in infants is linked to dehydration and hypotension, presenting acutely with masses and hematuria.
- In adults, RVT is often associated with nephrotic syndrome and can lead to kidney infarction if sudden.
- Other venous thromboses discussed include priapism and hepatic and portal vein thrombosis, each with distinct causes and clinical presentations.
Purpose of the Study:
- To review the clinical presentations, diagnostic approaches, and management strategies for renal vein thrombosis in different age groups.
- To provide an overview of related venous thromboembolic conditions affecting the kidneys, liver, and portal system.
Main Methods:
- Review of clinical signs and symptoms associated with renal vein thrombosis.
- Discussion of diagnostic imaging modalities including ultrasound, CT, MRI, and venography.
- Overview of treatment options, emphasizing conservative management with anticoagulants.
Main Results:
- Infantile RVT typically has a favorable outcome with conservative management.
- Adult RVT presentation varies from silent to acute with severe pain and loss of kidney function.
- Imaging techniques like ultrasound and CT are crucial for diagnosis, with venography for confirmation.
Conclusions:
- Conservative management, including anticoagulation, is generally preferred for renal vein thrombosis.
- Prompt diagnosis and management are key to improving outcomes in venous thrombosis of the renal and other major veins.