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Related Concept Videos

Venous Thrombosis I: Introduction01:30

Venous Thrombosis I: Introduction

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Venous thrombosis, the most common disorder of the veins, involves the formation of a thrombus or blood clot associated with vein inflammation. It can be classified as either superficial vein thrombosis or deep vein thrombosis.Superficial Vein Thrombosis: This involves the formation of a thrombus in a superficial vein, usually the greater or lesser saphenous vein. Though less severe than deep vein thrombosis (DVT), SVT can lead to complications if untreated.Deep Vein Thrombosis (DVT): This...
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Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies01:20

Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies

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The key difference between Superficial Vein Thrombosis (SVT) and Deep Vein Thrombosis (DVT) lies in their location and severity.Clinical ManifestationsSVT typically presents with localized pain, tenderness, and redness along the course of a superficial vein, often accompanied by a palpable, cord-like structure under the skin. This condition is usually less dangerous than DVT but can be uncomfortable and may lead to complications such as cellulitis or, rarely, a clot extension into the deep...
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Venous Thrombosis III: Interprofessional Care01:29

Venous Thrombosis III: Interprofessional Care

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Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
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Overview of Systemic Veins01:11

Overview of Systemic Veins

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Systemic veins are crucial blood vessels that return deoxygenated blood from various body tissues back to the heart. There are three systemic veins that return deoxygenated blood to the heart, they are as follows.
The coronary sinus, the heart's principal vein, resides in the coronary sulcus on the heart's posterior aspect. This broad venous channel receives nearly all venous blood from the myocardium, the heart muscle. It is fed by three primary veins: the great cardiac vein, the...
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Venous Thrombosis IV: Nursing Management01:30

Venous Thrombosis IV: Nursing Management

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Nursing management begins with a thorough assessment of the patient's health history. Key factors include trauma to veins, peripherally inserted central catheters, varicose veins, recent pregnancy or childbirth, surgery, bacteremia, prolonged bed rest, atrial fibrillation, COPD, heart failure, cancer, coagulation disorders, myocardial infarction, spinal cord injury, stroke, prolonged travel, recent bone fractures, and dehydration. Review medication intake, particularly oral contraceptives,...
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Veins of Head and Neck01:19

Veins of Head and Neck

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The blood drainage from the head and neck is primarily managed by three pairs of veins: the external jugular, internal jugular, and vertebral veins. The external jugular veins drain superficial scalp and face structures, passing over the sternocleidomastoid muscles to empty into the subclavian veins.
On the other hand, the vertebral veins, unlike their arterial counterparts, are not primarily responsible for brain drainage. Instead, they drain the cervical vertebrae, spinal cord, and some small...
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Circumscribed Capsular Infarct Modeling Using a Photothrombotic Technique
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Renal capsular vein thrombosis.

Katsuyuki Tanabe1, Jota Maki2, Hikari Nakatou2

  • 1Department of Nephrology, Rheumatology, Endocrinology and Metabolism, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, 2-5-1 Shikata-cho, Kita-ku, Okayama, 700-8558, Japan. tanabek@okayama-u.ac.jp.

Clinical and Experimental Nephrology
|January 5, 2021
PubMed
Summary

Postpartum HELLP syndrome in a pregnant woman was linked to rare renal capsular vein thrombosis. This case highlights the importance of recognizing the risk of pulmonary embolism in pregnancy-related clotting disorders.

Keywords:
AnticoagulationHELLP syndromePregnancyRenal capsular veinThrombosis

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Area of Science:

  • Obstetrics and Gynecology
  • Vascular Medicine
  • Radiology

Background:

  • HELLP syndrome (Hemolysis, Elevated Liver enzymes, and Low Platelets) is a severe pregnancy complication.
  • Renal capsular vein (RCV) thrombosis is an uncommon thrombotic event, particularly in the postpartum period.

Observation:

  • A 30-year-old pregnant woman presented with postpartum HELLP syndrome.
  • Abdominal computed tomography identified a high-density vessel structure near the right kidney, connected to the right ovarian vein.
  • This finding suggested thrombosis in the right inferior renal capsular vein.

Findings:

  • The case demonstrates a rare instance of postpartum RCV thrombosis.
  • Pregnancy complications leading to a hypercoagulable state are likely predisposing factors.
  • The imaging findings correlated with the clinical presentation of HELLP syndrome.

Implications:

  • This case underscores the need to consider rare thrombotic events in postpartum women with HELLP syndrome.
  • Awareness of RCV thrombosis is crucial for timely diagnosis and management.
  • The potential for serious complications like pulmonary embolism in pregnancy-related thrombosis must be recognized.