Ogunbiyi O A
Division of Radiology, College of Medicine, King Saud University, Abha, Saudi Arabia.
Afr J Med Med Sci. 1995 Mar;24(1):33-40.
Two male patients, an adult and a child, with the nephrotic syndrome were recently seen with clinical manifestations of acute Renal Vein Thrombosis (RVT) and the diagnosis was confirmed by Computed Tomography (CT) findings. The adult patient had left RVT, while the child had, at the first presentation, right RVT, followed two months later by the development of a left RVT. Subsequently, twelve asymptomatic patients with nephrotic syndrome were screened for RVT. Two adult male patients were discovered to have right RVT. All the four patients with RVT had associated thrombi in the Inferior Vena Cava (IVC). CT scans showed in all, widening of the involved renal vein containing thrombus, renal enlargement and thrombus in the IVC. CT appears to offer a direct non-invasive method of visualization of the IVC and renal veins, detecting thrombus within these vessels and demonstrating the resulting renal functional and morphological consequences, making it, suitable also for screening an asymptomatic population at high risk for RVT.
最近，两名患有肾病综合征的男性患者（一名成人和一名儿童）出现了急性肾静脉血栓形成（RVT）的临床表现，并通过计算机断层扫描（CT）结果确诊。成年患者为左肾静脉血栓形成，而儿童在首次就诊时为右肾静脉血栓形成，两个月后发展为左肾静脉血栓形成。随后，对12名无症状的肾病综合征患者进行了RVT筛查。发现两名成年男性患者患有右肾静脉血栓形成。所有4名患有RVT的患者在下腔静脉（IVC）中均伴有血栓。CT扫描显示，所有病例中，受累肾静脉内有血栓形成，肾静脉增宽，肾脏肿大，下腔静脉内有血栓。CT似乎提供了一种直接的非侵入性方法来观察下腔静脉和肾静脉，检测这些血管内的血栓，并显示由此产生的肾功能和形态学后果，这也使其适用于筛查有RVT高风险的无症状人群。
