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Renal Venous Thrombosis in Children
A David Beck1, Victor F Marshall1
1Department of Surgery (Urology), Cornell University Medical College, and the James Buchanan Brady Foundation, The New York Hospital, New York.
The Australian and New Zealand Journal of Surgery
|December 22, 2017
Summary
Childhood renal venous thrombosis is rare but serious. Prompt nephrectomy with fluid balance management offers excellent outcomes for pediatric patients.
Area of Science:
- Pediatric Nephrology
- Vascular Disorders
- Childhood Illnesses
Background:
- Renal venous thrombosis is an uncommon yet significant condition in pediatric populations.
- Existing literature on childhood renal venous thrombosis is reviewed.
- Two additional case studies are presented to augment current knowledge.
Purpose of the Study:
- To review the existing literature on pediatric renal venous thrombosis.
- To present two new cases of childhood renal venous thrombosis.
- To analyze the incidence, clinical presentation, and treatment outcomes.
Main Methods:
- Comprehensive literature review of renal venous thrombosis in children.
- Clinical case reporting of two pediatric patients with renal venous thrombosis.
- Analysis of epidemiological data, clinical features, and treatment strategies.
Main Results:
- Gastroenteritis is not a consistent preceding factor in clinically diagnosed cases of hemorrhagic infarction.
- The condition predominantly affects males, with the highest incidence in both sexes occurring within the first month of life.
- Prompt nephrectomy, coupled with meticulous management of fluid and electrolyte balance, demonstrates excellent therapeutic results.
Conclusions:
- Early diagnosis and intervention are crucial for managing childhood renal venous thrombosis.
- Surgical management, specifically nephrectomy, combined with supportive care, leads to favorable outcomes.
- Further research into the etiology and long-term effects of pediatric renal venous thrombosis is warranted.
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