Unilateral renal vein thrombosis in the setting of trauma
A 35-year- old female presented with haematuria and left flank pain. history of abdominal trauma 2 days prior
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Contrast enhanced CT scan shows dilatation and filling defect in the distal left renal vein.
No alteration in contrast opacification of the renal parenchyma to indicate an end organ event, such as an infarct.
Filling defects in the renal vein may represent de-novo thrombosis, or in the context of renal cell carcinoma, can represent tumour thrombus - differentiating can be difficult.
- Kawashima A, Sandler CM, Ernst RD et-al. CT evaluation of renovascular disease. Radiographics. 2000;20 (5): 1321-40. Radiographics (full text) - Pubmed citation