Citation Information :
Maloul-Zamir A, Najman TM, Itzhakov Z, Goldstein AL. 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.
Cervantes J, Rojas G. Virchow's legacy: deep vein thrombosis and pulmonary embolism. World J Surg 2005;29(1):S30–34. DOI: 10.1007/s00268-004-2056-0
Kau E, Patel R, Shah O. Isolated renal vein thrombosis after blunt trauma. Urology 2004;64(4):807–808. DOI: 10.1016/j.urology.2004.05.043
Berkovich GY, Ramchandani P, Preate DL Jr, et al. Renal vein thrombosis after martial arts trauma. J Trauma 2001;50(1):144–145. DOI: 10.1097/00005373-200101000-00030
Parmar K, Thakur A, Sharma A, Kumar S. Isolated renal vein and inferior vena cava thrombus following blunt trauma abdomen. Trauma Case Rep 2020;25:100282. DOI: 10.1016/j.tcr.2020.100282
Turner Jr WW, Snyder III WH, Fry WJ. Mortality and renal salvage after renovascular trauma: a review of 94 patients treated in a 20 year period. Am J Surg 1983;146(6):848–851. DOI: 10.1016/0002-9610(83)90357-4
Asghar M, Ahmed K, Shah SS, et al. Renal vein thrombosis. Eur J Vasc Endovasc Surg 2007;34(2):217–223. DOI: 10.1016/j.ejvs.2007.02.017
Kamber HM, Al-Marzooq TJ, Neamah HR, et al. Outcomes of operative management of 96 cases with traumatic retroperitoneal hematoma: a single-institution experience. Open Access Maced J Med Sci 2018;6(11):2128–2132. DOI: 10.3889/oamjms.2018.437
Sahu KK, Mishra AK, Lal A, et al. Clinical spectrum, risk factors, management and outcome of patients with retroperitoneal hematoma: a retrospective analysis of 3 year experience. Expert Rev Hematol 2020;13(5):545–555. DOI: 10.1080/17474086.2020.1733963
Pickhardt PJ, Shimony JS, Heiken JP, et al. The abdominal compartment syndrome: CT findings. AJR 1999;173(3):575–579. DOI: 10.2214/ajr.173.3.10470882
Moore EE, Moore HB, Kornblith LZ, et al. Trauma-induced coagulopathy. Nat Rev Dis Primers 2021;7(1):1–23. DOI: 10.1038/s41572-021-00270-5
Ianieri MM, Buca DI, Panaccio P, et al. Retroperitoneal endometriosis in postmenopausal woman causing deep vein thrombosis: case report and review of the literature. Clin Exp Obstet Gynecol 2017;44(1):148–150.
Markogiannakis H, Messaris E, Dardamanis D, et al. Acute mechanical bowel obstruction: clinical presentation, etiology, management and outcome. WJG 2007;13(3):432–437. DOI: 10.3748/wjg.v13.i3.432
Parmer SS, Carpenter JP, Fairman RM, et al. Femoral neuropathy following retroperitoneal hemorrhage: case series and review of the literature. Ann Vasc Surg 2006;20(4):536–540. DOI: 10.1007/s10016-006-9059-2