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CASE REPORT
Year : 2016  |  Volume : 10  |  Issue : 2  |  Page : 40-42

Late-onset renal vein thrombosis in renal allograft


Department of Radio Diagnosis and Imaging, G.R. Doshi and K.M. Mehta Institute of Kidney Diseases & Research Centre (IKDRC) & Dr. H.L. Trivedi Institute of Transplantation Sciences (ITS), India

Correspondence Address:
Vaidehi K Pandya
Department of Radio Diagnosis and Imaging, G.R. Doshi and K.M. Mehta Institute of Kidney Diseases & Research Centre (IKDRC) & Dr. H.L. Trivedi Institute of Transplantation Sciences (ITS), Civil Hospital Campus, Asarwa, Ahmedabad 380016, Gujarat
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.1016/j.ijt.2016.05.002

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Renal vein thrombosis (RVT), though very rare, is one of the serious and fatal vascular complications of renal transplantation, which may lead to graft loss. The causative factor may be unknown in majority of cases. However, a variety of causes have been identified. Here, we report a case of a 46-year-old postrenal transplant male patient, who presented with acute onset of right flank pain, tenderness, hematuria, and reduced urine output after 40 months of transplantation. Renal vein thrombosis distal to the level of hilum of transplanted renal vein was found on color Doppler study. The patient was treated with standard anticoagulant drug therapy and eventually he had to undergo graft nephrectomy. Unfortunately, on second postoperative day, the patient expired due to cardiac arrest. Radiology, in particular color Doppler study, plays an important role as a noninvasive investigation to diagnose RVT at the earliest and to guide prompt management.


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