Abstract
Isolated renal vein thrombosis is a rare entity. We present a patient whose complaint of flank pain led to the diagnosis of a renal vein thrombosis. In this case, abdominal computed tomography angiography was helpful in diagnosing the nutcracker syndrome complicated by the renal vein thrombosis. Anticoagulation was started and three weeks later, CTA showed complete disappearance of the renal vein thrombosis. To treat the Nutcracker syndrome, we proposed left renal vein transposition that the patient consented to.
Highlights
Renal vein thrombosis is a fairly uncommon site for vascular occlusion when isolated to this location
We present the case of a 24-year-old newly married woman, who was admitted to our hospital from the Emergency Department complaining of acute and constant left flank pain for 3 days with macroscopic haematuria
This pain was nonradiating, was not related to meals, did not respond to over-the-counter analgesics, and was not associated with anorexia, nausea, vomiting, or fever. This pain was preceded by macroscopic haematuria that appeared for 2 months before
Summary
Renal vein thrombosis is a fairly uncommon site for vascular occlusion when isolated to this location. Cases of solitary renal vein thrombosis have been reported to be in association with the nutcracker syndrome [1, 2]. We present an intriguing case in which a 24-year-old female with no previous major health problems; especially she has no known history of coagulopathy, presented with acute flank pain. During the course of her evaluation, a computed tomography (CT) of the abdomen and pelvis revealed unilateral renal vein thrombosis with anterior nutcracker syndrome
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