A Rare Cause of Renal Vein Thrombosis: A Progressive Zone I Retroperitoneal Hematoma following Blunt Trauma
Astar Maloul-Zamir, Tzvi M Najman, Zalman Itzhakov
Citation Information :
Maloul-Zamir A, Najman TM, Itzhakov Z. A Rare Cause of Renal Vein Thrombosis: A Progressive Zone I Retroperitoneal Hematoma following Blunt Trauma. Panam J Trauma Crit Care Emerg Surg 2022; 11 (1):54-55.
Renal vein thrombosis is a rare sequela of blunt trauma with the potential for significant morbidity and mortality. The physiology of the multitrauma victim is extremely dynamic on both the micro and macroscopic levels. Trauma-induced coagulopathy, together with anatomical changes due to injury, plays a significant role in the treatment and prognosis of the trauma victim. Here we show, with sequential computer tomography (CT) scans, the effect of an enlarging retroperitoneal hematoma on the renal venous system. The changes and external pressures, without direct compression, of the retroperitoneal hematoma, created a thrombogenic environment for the left renal vein leading to renal vein thrombosis. The measurement of the retroperitoneal hematoma, and its progression, might be a useful marker for prognosis and the potential need for invasive intervention in order to prevent further injury and morbidity.
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