Isolated renal vein and inferior vena cava thrombosis in a young man with ulcerative colitis: diagnostic challenges and lessons learned.
Aditya Prakash SharmaSudheer Kumar DevanaShrawan Kumar SinghPublished in: BMJ case reports (2020)
We present a case of a young man, known case of ulcerative colitis, who presented with acute onset right flank pain and haematuria. Blood workup showed leucocytosis and raised serum creatinine. Cross-sectional imaging revealed renal vein with inferior vena cava thrombosis. He had a normal infectious screen and lacked septic features pointing towards non-infectious pathology. The 24-hour urine examination revealed nephrotic range proteinuria. Further evaluation was inconclusive for any defined pathology. Empiric anticoagulation was started and patient responded miraculously with restoration of vascularity to the affected kidney and discharged in stable condition.
Keyphrases
- inferior vena cava
- pulmonary embolism
- ulcerative colitis
- cross sectional
- vena cava
- single cell
- middle aged
- chronic pain
- liver failure
- atrial fibrillation
- case report
- acute kidney injury
- blood pressure
- pain management
- high throughput
- venous thromboembolism
- neuropathic pain
- spinal cord
- uric acid
- hepatitis b virus
- metabolic syndrome
- aortic dissection
- spinal cord injury