Dr. med. Dirk Manski

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Renal Vein Thrombosis: Symptoms, Diagnosis and Treatment


Renal vein thrombosis is the formation of a thrombus in the renal vein with the risk of acute renal failure.

Etiology (Causes) of Renal Vein Thrombosis

Causes and pathophysiology of renal vein thrombosis are comparable to deep venous thrombosis (Virchow triad), often a combination of causes are found:

Signs and Symptoms

Diagnostic Workup of Renal Vein Thrombosis

Laboratory tests:

Urine analysis: hematuria and proteinuria. Blood tests: eventually increased creatinine and potassium in serum.

Renal ultrasound:

Renal ultrasound is important for differential diagnosis of acute renal failure: e.g., exclusion of hydronephrosis. Signs of renal vein thrombosis are kidney enlargement and the detection of a renal vein thrombus in Doppler sonography. The renal vein thrombus may extend into the inferior vena cava.

CT or MRI Abdomen:

CT scan or MRI of the abdomen is reliable for diagnosing renal vein thrombosis.

Treatment of Renal Vein Thrombosis

Index: 1–9 A B C D E F G H I J K L M N O P Q R S T U V W X Y Z


M. Asghar, K. Ahmed, S. S. Shah, M. K. Siddique, P. Dasgupta, and M. S. Khan, “Renal vein thrombosis.,” Eur. J. Vasc. Endovasc. Surg., vol. 34, no. 2, pp. 217–223, 2007.

  Deutsche Version: Nierenvenenthrombose