Late-onset renal vein thrombosis: A case report and review of the literature

Jessica L. Hogan, Stanton J. Rosenthal, Sri G. Yarlagadda, Jill A. Jones, Timothy M. Schmitt, Sean C. Kumer, Bruce Kaplan, Shenequa L. Deas, Atta M. Nawabi

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

INTRODUCTION: Renal vein thrombosis, a rare complication of renal transplantation, often causes graft loss. Diagnosis includes ultrasound with Doppler, and it is often treated with anticoagulation or mechanical thrombectomy. Success is improved with early diagnosis and institution of treatment. PRESENTATION OF CASE: We report here the case of a 29 year-old female with sudden development of very late-onset renal vein thrombosis after simultaneous kidney pancreas transplant. This resolved initially with thrombectomy, stenting and anticoagulation, but thrombosis recurred, necessitating operative intervention. Intraoperatively the renal vein was discovered to be compressed by a large ovarian cyst. DISCUSSION: Compression of the renal vein by a lymphocele or hematoma is a known cause of thrombosis, but this is the first documented case of compression and thrombosis due to an ovarian cyst. CONCLUSION: Early detection and treatment of renal vein thrombosis is paramount to restoring renal allograft function. Any woman of childbearing age may have thrombosis due to compression by an ovarian cyst, and screening for this possibility may improve long-term graft function in this population.

Original languageEnglish (US)
Pages (from-to)73-76
Number of pages4
JournalInternational Journal of Surgery Case Reports
Volume6
DOIs
StatePublished - 2015
Externally publishedYes

Fingerprint

Renal Veins
Thrombosis
Ovarian Cysts
Thrombectomy
Transplants
Lymphocele
Kidney
Doppler Ultrasonography
Hematoma
Kidney Transplantation
Allografts
Early Diagnosis
Pancreas
Therapeutics
Population

Keywords

  • Late-onset renal allograft dysfunction
  • Ovarian cyst
  • Renal vein thrombosis
  • Simultaneous kidney pancreas transplant

ASJC Scopus subject areas

  • Surgery

Cite this

Hogan, J. L., Rosenthal, S. J., Yarlagadda, S. G., Jones, J. A., Schmitt, T. M., Kumer, S. C., ... Nawabi, A. M. (2015). Late-onset renal vein thrombosis: A case report and review of the literature. International Journal of Surgery Case Reports, 6, 73-76. https://doi.org/10.1016/j.ijscr.2014.09.027

Late-onset renal vein thrombosis : A case report and review of the literature. / Hogan, Jessica L.; Rosenthal, Stanton J.; Yarlagadda, Sri G.; Jones, Jill A.; Schmitt, Timothy M.; Kumer, Sean C.; Kaplan, Bruce; Deas, Shenequa L.; Nawabi, Atta M.

In: International Journal of Surgery Case Reports, Vol. 6, 2015, p. 73-76.

Research output: Contribution to journalArticle

Hogan, JL, Rosenthal, SJ, Yarlagadda, SG, Jones, JA, Schmitt, TM, Kumer, SC, Kaplan, B, Deas, SL & Nawabi, AM 2015, 'Late-onset renal vein thrombosis: A case report and review of the literature', International Journal of Surgery Case Reports, vol. 6, pp. 73-76. https://doi.org/10.1016/j.ijscr.2014.09.027
Hogan, Jessica L. ; Rosenthal, Stanton J. ; Yarlagadda, Sri G. ; Jones, Jill A. ; Schmitt, Timothy M. ; Kumer, Sean C. ; Kaplan, Bruce ; Deas, Shenequa L. ; Nawabi, Atta M. / Late-onset renal vein thrombosis : A case report and review of the literature. In: International Journal of Surgery Case Reports. 2015 ; Vol. 6. pp. 73-76.
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AU - Kaplan, Bruce

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AB - INTRODUCTION: Renal vein thrombosis, a rare complication of renal transplantation, often causes graft loss. Diagnosis includes ultrasound with Doppler, and it is often treated with anticoagulation or mechanical thrombectomy. Success is improved with early diagnosis and institution of treatment. PRESENTATION OF CASE: We report here the case of a 29 year-old female with sudden development of very late-onset renal vein thrombosis after simultaneous kidney pancreas transplant. This resolved initially with thrombectomy, stenting and anticoagulation, but thrombosis recurred, necessitating operative intervention. Intraoperatively the renal vein was discovered to be compressed by a large ovarian cyst. DISCUSSION: Compression of the renal vein by a lymphocele or hematoma is a known cause of thrombosis, but this is the first documented case of compression and thrombosis due to an ovarian cyst. CONCLUSION: Early detection and treatment of renal vein thrombosis is paramount to restoring renal allograft function. Any woman of childbearing age may have thrombosis due to compression by an ovarian cyst, and screening for this possibility may improve long-term graft function in this population.

KW - Late-onset renal allograft dysfunction

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