Traumatic renal vein thrombosis associated with renal artery occlusion.

Abstract

Traumatic renal vein thrombosis is rare. There are 13 cases of this injury described after direct trauma to the abdomen or the loin (Barney and Mintz, 1933; Chait et al., 1968; Colliez, 1959; Gruber, 1919; Gyepes et al., 1967; Hamburger, et al., 1968; Lang et al., 1971; March and Halpern, 1963; Meriel et al., 1959; Ney and Friedenberg, 1966; Vallery-Radot et al., 1949; Pisani, 1925–1926), although the renal vein may also be involved by proximal extension from a traumatic ilio-femoral vein thrombosis (Bayley et al., 1965). In the only case with occlusion of both renal vein and artery after direct trauma (Barney and Mintz, 1933), the correct diagnosis was made at necropsy and few clinical details were given. We are reporting a patient with this combination of injuries, diagnosed during life, to emphasize the clinical and radiological features of renal vein thrombosis in the presence of traumatic renal artery occlusion. A 25-year-old man entered the hospital with abdominal pain, hypotension, and anuria after...