Mouhsine Abdelilah, Belkouch Ahmed, Atmane El Mehdi, Rokhssi Redouane, Berrada Youssef, Belyamani Lahcen, Mahfoudi Mbarek, El Fikri Abdelghani
Department of Radiology, Avicenna Military Hospital, Avenue Al Mouqaouama, Marrakech 40000, Morocco.
J Med Case Rep. 2014 Dec 24;8:462. doi: 10.1186/1752-1947-8-462.
Physiological hypercoagulability is a known condition in pregnancy designed to limit the risk of bleeding; it may exceptionally be complicated by thrombosis of the renal vein. To the best of our knowledge, this is the third case of renal venous infarction reported in the literature.
We report the case of a 43-year-old Caucasian woman, a mother of three sons who presented with left flank pain and hematuria. The clinical investigations did not find any other cause for her thrombophilia.
Clinical onset is not specific, so it is important to evoke the diagnosis in the context of pregnancy; computed tomography angiography is the investigation of choice to set the diagnosis. It is important to know that anticoagulation therapy must be initiated as soon as possible.
生理性高凝状态是妊娠期已知的一种情况,旨在限制出血风险;但它可能罕见地并发肾静脉血栓形成。据我们所知,这是文献报道的第三例肾静脉梗死病例。
我们报告一例43岁的白人女性病例,她是三个儿子的母亲,出现左侧腰痛和血尿。临床检查未发现她血栓形成倾向的其他原因。
临床起病不具特异性,因此在妊娠背景下考虑该诊断很重要;计算机断层血管造影是确立诊断的首选检查。必须知道尽早开始抗凝治疗很重要。