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Renal Venous Thrombosis, Pediatric

Daniel Ranch, MD Reviewed 10/2018
 


BASICS

DESCRIPTION

  • Thrombus formation in renal veins (stellate veins, interlobular veins, ascending vasa recta, arcuate veins, hilar veins, or renal vein)

  • Most common non–catheter-related thromboembolis...

DIAGNOSIS

HISTORY

  • More than half of neonatal cases present within 3 days of birth and almost all within the 1st month of life.

  • Macroscopic hematuria is seen in about half of affected infants.

  • The classic...

TREATMENT

GENERAL MEASURES

  • Treatment of the underlying disease process, if present

  • Management of acute kidney injury (i.e., fluid imbalance, electrolyte abnormalities, hypertension)

MEDICATION

The America...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

Long-term monitoring for development of hypertension, renal atrophy, or chronic renal insufficiency 

PROGNOSIS

  • Treatment with anticoagulants may n...

ADDITIONAL READING

  • Bidadi B, Nageswara Rao AA, Kaur D, et al. Neonatal renal vein thrombosis: role of anticoagulation and thrombolysis—an institutional review. Pediatr Hematol Oncol.  2016;33(1):...

CODES

ICD9

453.3 Other venous embolism and thrombosis of renal vein 

ICD10

I82.3 Embolism and thrombosis of renal vein 

SNOMED

15842009 thrombosis of renal vein (disorder) 

FAQ

  • Q: Which population is most susceptible to RVT?

  • A: Neonates have the highest risk, especially those with a history of maternal diabetes mellitus, birth asphyxia, or dehydration.

  • Q: What is the class...

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