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[Traumatic renal vein thrombosis]

R M Kuntz, W Schütz, H M Becker

    Medizinische Klinik
    |October 9, 1981
    PubMed
    Summary
    This summary is machine-generated.

    Left renal vein thrombosis can occur due to medical procedures or trauma. While often treated conservatively, surgical intervention may be necessary in complex cases involving tumors or severe kidney injury.

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    Area of Science:

    • Urology
    • Vascular Surgery
    • Diagnostic Imaging

    Background:

    • Left renal vein thrombosis (LRVT) is a rare condition.
    • Common causes include hypercoagulable states, external compression, and trauma.
    • Preoperative phlebography and trauma are less common etiologies.

    Purpose of the Study:

    • To report two distinct cases of left renal vein thrombosis in female patients.
    • To highlight unusual etiologies and management strategies for LRVT.
    • To discuss the indications for surgical intervention in LRVT.

    Main Methods:

    • Case report of two female patients with LRVT.
    • Review of medical history, diagnostic imaging (selective renal vein phlebography), and surgical procedures.
    • Analysis of treatment outcomes.

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    Main Results:

    • Case 1: LRVT induced by preoperative selective renal vein phlebography for a perirenal tumor, detected intraoperatively.
    • Case 2: LRVT caused by traumatic avulsion, requiring relaparotomy and nephrectomy due to kidney contusion.
    • Both patients underwent surgical management despite conservative treatment being the usual approach.

    Conclusions:

    • LRVT can arise from iatrogenic causes like phlebography and traumatic events.
    • Surgical intervention may be indicated for LRVT associated with concurrent conditions like tumors or significant renal injury.
    • Management decisions for LRVT should be individualized based on etiology and patient condition.