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Renal Vein Thrombosis :

Renal Vein Thrombosis India offers information on Renal Vein Thrombosis in India, Renal Vein Thrombosis cost India, Renal Vein Thrombosis hospital in India, Delhi, Mumbai, Chennai, Hyderabad & Bangalore, Renal Vein Thrombosis Surgeon in India


Also Known as

Kidney Blood Clot or Blockage of Renal Vein


Description

Renal Vein Thrombosis refers to the Blockage of Renal Vein (carries oxygen-depleted blood away from the kidney) by a blood clot (thrombus).


Symptoms


Causes

  • Blood clots form when normally liquid blood thickens, or its flow slows down and becomes stagnant.
  • Causes of blood clot formation :
    • Trauma to back or abdomen will damage the vein or scar it, and slow the normal blood flow.
    • Malignant (invasive/cancer) renal tumors such as Renal Cell Carcinomas can invade the vein and cause blockage to blood flow.
    • External compression of the vein from pregnancy, tumors of the abdomen, or narrowing or strictures of the major vein known as the inferior vena cava.
    • Nephrotic Syndrome -- membranous glomerulonephropathy
  • Dehydration in infants


How the Diagnosis is made

  • History of symptoms, illnesses, past history of Thrombosis, allergies, medications, surgeries (especially abdominal or vascular), family history, and habits
  • Medical exam may reveal flank or back pain.
  • Urinalysis under a microscope may reveal red blood cells.
  • Blood tests may reveal high levels of kidney chemical known as LDH enzyme.
  • X-Ray, Ultrasound, MRI or CAT scan are radiographic techniques that can show the size (often enlarged kidney), structure, and clot location in the kidneys.
  • Venography, done by injecting a dye (coloring) into the veins and then X-Raying the area, can show the location of the renal vein narrowing or clotting.


Risk factors

  • See causes
  • Problems with substances that alter blood viscosity (fluidity):
    • Platelets abnormalities
    • Increased Fibrinogen levels
    • Decreased Antithrombin III
    • Protein C and S deficiency
    • Anticardiolipin syndrome
    • Oral contraceptives
    • Estrogen therapy
    • Thrombophlebitis migrans


Treatment

  • Hydration with intravenous fluids may help.
  • Thinning the blood first with Heparin (intravenously) and then orally with Warfarin pills, which may need to be continued.
  • Surgical removal of the clot (thrombectomy), removal of the infarcted kidney (nephrectomy), or inserting a flexible tube to reopen the blocked vein (recanalization ) are other options.


Complications

  • Renal failure can occur.
  • Renal infarction -- the segment of kidney dies
  • Pulmonary Emboli can occur.
  • Death is rare


Similar conditions

  • Nephrotic Syndrome
  • Pyelonephritis
  • Herniated Disc
  • Pulmonary Emboli
  • Kidney Stones

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