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Fetal renal vein thrombosis.
M E Furness1, S Rajadurai, R R Haslam
1Queen Victoria Hospital, Rose Park, South Australia.
Summary
Fetal renal vein thrombosis, diagnosed by ultrasound, can resolve spontaneously or with treatment. Close fetal monitoring is crucial for timely intervention and improved outcomes in these cases.
Area of Science:
- Perinatology
- Fetal Medicine
- Pediatric Nephrology
Background:
- Fetal renal vein thrombosis (FRVT) is a rare condition affecting newborns.
- Early diagnosis and understanding of FRVT are essential for managing fetal well-being.
Observation:
- Two cases of FRVT diagnosed antenatally via maternal ultrasound are presented.
- Ultrasound findings included unilateral renal enlargement, inferior vena cava thrombus, and fetal ascites.
Findings:
- One case associated with placental dysfunction showed hematuria and renal failure, resolving by day 10.
- The second case, following antepartum hemorrhage, resolved before birth.
Implications:
- FRVT may be more common than previously thought.
- Close fetal monitoring is recommended, with delivery considered for signs of compromise.
- Prompt management can improve fetal outcomes in cases of FRVT.
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