Ben Hassine Mohamed, Ben Hadj Alouane Houssem, Oueslati Mohamed Amine, Fassi Fihri El Mamoun, Chammakhi Chiraz, Ben Rhouma Sami
Habib Thameur Hospital, Department of Urology, 1089 Ali Ben Ayed St, Tunis, Tunisia.
Urol Case Rep. 2023 May 22;49:102444. doi: 10.1016/j.eucr.2023.102444. eCollection 2023 Jul.
Renal vein thrombosis is not a common manifestation in the context of acute pyelonephritis. We report the case of a 29-year-old female diabetic patient that was admitted to our department for an episode of complicated acute pyelonephritis. Initial imaging showed a left lower polar abscess of 27 mm and urine cultures grew community acquired K. Pneumoniae. Two days after the patient was discharged, she was readmitted with worsening symptoms. Repeat imaging showed stability in the size of the abscess and revealed a left lower segmental vein thrombosis. The patient responded favorably to antibiotics and heparin-warfarin therapy.
