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Pediatric Renal Vein Thrombosis

  • Tanner P. Lyons and Stephen Shy II
Published/Copyright: September 1, 2019
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Journal of Osteopathic Medicine
From the journal Journal of Osteopathic Medicine Volume 119 Issue 9

A 14-year-old girl presented to the emergency department with epigastric and right upper quadrant abdominal pain. She stated that the pain had been intermittent with occasional flare-ups throughout the past year, but the symptoms had progressively worsened over the past month. Her symptoms were triggered by eating, especially high-fat foods, and were associated with nausea, vomiting, and diarrhea. Previous abdominal ultrasonography and hepatobiliary iminodiacetic acid scan imaging had not demonstrated a clear cause. Abdominopelvic computed tomographic scan revealed an enlarged right kidney and an atretic right renal vein secondary to thrombosis, as well as sclerosis with draining retroperitoneal venous varices (image A, arrow).

Unilateral thrombosis accounts for more than 70% of cases of renal vein thrombosis, with more than 60% affecting the left vein.1 A retrospective review found a lower likelihood of renal impairment in patients treated with heparin at the time of diagnosis.2 The patient did not follow-up with the pediatric department for nephrology referral. Further workup would include evaluation for congenital, thrombophilic, autoimmune, and rheumatologic conditions.3

Ohio University Heritage College of Osteopathic Medicine in Athens (Student Doctor Lyons) and Ohio Valley Physicians & Holzer Medical Systems in Gallipolis (Dr Shy).
Financial Disclosures: None reported.
Support: None reported.

*Address correspondence to Tanner P. Lyons, OMS IV, Ohio University Heritage College of Osteopathic Medicine, 35 W Green Dr, Athens, Ohio 45701-2978. Email:

References

1. Lau KK , StoffmanJM, WilliamsS, et al. Neonatal renal vein thrombosis: review of the English-language literature between 1992 and 2006. Pediatrics. 2007;120(5):e1278-e1284. doi:10.1542/peds.2007-0510Search in Google Scholar PubMed

2. Zigman A , YazbeckS, EmilS, NguyenL. Renal vein thrombosis: a 10-year review. J Pediatr Surg. 2000;35(11):1540-1542. doi:10.1053/jpsu.2000.18302Search in Google Scholar PubMed

3. Hoppe C , MatsunagaA. Pediatric thrombosis. Pediatr Clin North Am. 2002;46(6):1257-1283.Search in Google Scholar
Received: 2019-03-01
Accepted: 2019-03-08
Published Online: 2019-09-01
Published in Print: 2019-09-01

© 2019 American Osteopathic Association

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

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https://doi.org/10.7556/jaoa.2019.107
Creative Commons
BY-NC-ND 4.0

Articles in the same Issue

  1. EDITORIAL
  2. The Inseparable Bond Between Research and Medical Education
  3. HEALTH POLICY
  4. Save Rural Health Care: Time for a Significant Paradigm Shift
  5. ORIGINAL CONTRIBUTION
  6. High Prevalence of Diabetes Distress in a University Population
  7. BRIEF REPORT
  8. Effects of Post–Isometric Relaxation on Ankle Plantarflexion and Timed Flutter Kick in Pediatric Competitive Swimmers
  9. JAOA/AACOM MEDICAL EDUCATION
  10. Introduction to Clerkship: Bridging the Gap Between Preclinical and Clinical Medical Education
  11. Evaluating the Influence of Research on Match Success for Osteopathic and Allopathic Applicants to Residency Programs
  12. Integrating the Principles and Practice of Scholarly Activity Into Undergraduate Medical Education: A Narrative Review and Proposed Model for Implementation
  13. Interprofessional Education: Collaboration and Learning in Action
  14. SPECIAL COMMUNICATION
  15. Modern Medical Consequences of the Ancient Evolution of a Long, Flexible Lumbar Spine
  16. CASE REPORT
  17. Intriguing Mixed Pathologic Features in a Case of Dementia With Lewy Bodies
  18. CLINICAL IMAGES
  19. Pediatric Renal Vein Thrombosis
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