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 CASE REPORT
Year : 2010  |  Volume : 20  |  Issue : 3  |  Page : 152-155

Bilateral renal vein thrombosis and pulmonary embolism secondary to membranous glomerulonephritis treated with percutaneous catheter thrombectomy and localized thrombolytic therapy


Department of Medicine, University of British Columbia, Vancouver, British Columbia, Canada

Correspondence Address:
S P Janda
16442-32 A Avenue, Surrey, B.C., V3S-0G5
Canada
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-4065.70848

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Renal vein thrombosis (RVT) is a rare event but is prevalent in patients with nephrotic syndrome. Bilateral RVT is even rarer. The literature is relatively sparse in terms of the management of RVT because of its rarity and consists of a few case reports and case series. We present a case with bilateral RVT complicated by a pulmonary embolism in a patient with membranous glomerulonephritis (MGN). A 19-year-old female presented with acute flank pain and worsening renal function after a couple of weeks in hospital while being treated with diuretics for anasarca secondary to MGN. Venography was used for diagnosis. The patient underwent percutaneous catheter thrombectomy and localized thrombolysis achieving resolution of pain and improvement of renal function. The patient was then anticoagulated for life with warfarin.






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Indian Journal of Nephrology
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Online since 20th Sept '07