Hogan Jessica L, Rosenthal Stanton J, Yarlagadda Sri G, Jones Jill A, Schmitt Timothy M, Kumer Sean C, Kaplan Bruce, Deas Shenequa L, Nawabi Atta M
Department of Surgery, University of Kansas Medical Center, 3901 Rainbow Boulevard, Kansas City, KS 66160, United States.
Department of Surgery, University of Kansas Medical Center, 3901 Rainbow Boulevard, Kansas City, KS 66160, United States.
Int J Surg Case Rep. 2015;6C:73-6. doi: 10.1016/j.ijscr.2014.09.027. Epub 2014 Nov 21.
Renal vein thrombosis, a rare complication of renal transplantation, often causes graft loss. Diagnosis includes ultrasound with Doppler, and it is often treated with anticoagulation or mechanical thrombectomy. Success is improved with early diagnosis and institution of treatment.
We report here the case of a 29 year-old female with sudden development of very late-onset renal vein thrombosis after simultaneous kidney pancreas transplant. This resolved initially with thrombectomy, stenting and anticoagulation, but thrombosis recurred, necessitating operative intervention. Intraoperatively the renal vein was discovered to be compressed by a large ovarian cyst.
Compression of the renal vein by a lymphocele or hematoma is a known cause of thrombosis, but this is the first documented case of compression and thrombosis due to an ovarian cyst.
Early detection and treatment of renal vein thrombosis is paramount to restoring renal allograft function. Any woman of childbearing age may have thrombosis due to compression by an ovarian cyst, and screening for this possibility may improve long-term graft function in this population.
肾静脉血栓形成是肾移植的一种罕见并发症，常导致移植肾丢失。诊断方法包括多普勒超声检查，治疗通常采用抗凝或机械性血栓切除术。早期诊断和治疗可提高成功率。
我们在此报告一例29岁女性，在同时进行肾胰联合移植后突然发生非常迟发性的肾静脉血栓形成。最初通过血栓切除术、支架置入术和抗凝治疗病情得到缓解，但血栓复发，需要进行手术干预。术中发现肾静脉被一个大的卵巢囊肿压迫。
淋巴管囊肿或血肿压迫肾静脉是已知的血栓形成原因，但这是第一例有记录的因卵巢囊肿压迫导致血栓形成的病例。
早期发现和治疗肾静脉血栓形成对于恢复移植肾功能至关重要。任何育龄期女性都可能因卵巢囊肿压迫而发生血栓形成，对此可能性进行筛查可能会改善该人群的长期移植肾功能。
