Renal vein thrombosis in nephrotic syndrome

Abstract EN

Renal vein thrombosis is not an uncommon serious complication of nephrotic syndrome.

The diagnosis of this condition retires a high index 0؛ suspicion from the treating physician.

This is because of a few mild symptoms (flank pain and haematuria) and non-specific clinical signs (tenderness with slight enlargement of involved kidney), if present.

Renal vein thrombosis carries a high risk of morbidity and mortality but a favorable outcome can be achieved when ^؛coagulation therapy is started earlier in the course of the disease.

We report a 49 year old Bahraini male who presented with nephrotic syndrome and mild left flank pain.

A detailed evaluation including selective renal angiogram confirmed the diagnosis of left renal vein thrombosis.

This diagnostic entity should be considered in nephrotic syndrome patients with unexplained rapid deterioration of renal function-, acute flank pain, macroscopic hematuria, pleuritic chest pain and severe 1^'poalbuminaemia.