Renal vein thrombosis (RVT) is though common form of thromboembolism in neonates yet uncommon in extremely low birth weight pre-term neonates. Neonatal thromboembolism is more commonly associated with central venous catheter but we present a case report of an extremely low birth weight preterm with left side RVT which was not associated with central venous catheter and diagnosed by using bedside point of care renal ultrasound in the NICU. Though the incidence of RVT in adults and children is very low in Asian countries, its incidence, risk factors and finale outcome in neonatal RVT may be different from other countries. Acquired as well as genetic risk factors are significantly contributes in thromboembolism in neonate and central venous lines are one of the most common acquired risk factor. However mortality rate associated with renal vein thrombosis is less than other forms of thrombosis in neonate but there is significant degree of short term as well as long term sequelae. Initiation of thrombus formation may be triggered by vascular trauma, decreased vascular blood flow, increased viscosity of blood, thrombophilia or hyper osmolality. The classical triad for the renal vein thrombosis includes thrombocytopenia, hematuria along with unilateral or bilateral mass in flank. We recognised the pitfalls in managing RVT in preterm neonates. RVT, though rare, should be considered in the differential diagnosis while managing a preterm with hematuria or sepsis. Renal venography is the gold standard test for diagnosis of RVT however bedside renal ultrasound is very useful & prompt in diagnosing & monitoring doppler flow in renal vessels in RVT in neonates. There are no evidence based clear guidelines for management of the disease.
| Published in | American Journal of Pediatrics (Volume 8, Issue 4) |
| DOI | 10.11648/j.ajp.20220804.23 |
| Page(s) | 267-270 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2022. Published by Science Publishing Group |
Renal Vein Thrombosis, Extremely Low Birth Weight, Pre-term Neonate, Bedside Renal Ultrasound
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APA Style
Prakash C. Vaghela, Chirag Gabani, Hiral D. Mangukiya, Jatin Rajyaguru. (2022). Renal Vein Thrombosis in Extremly Low Birth Weight Preterm Neonate & Utility of Bed Side Renal Doppler in NICU. American Journal of Pediatrics, 8(4), 267-270. https://doi.org/10.11648/j.ajp.20220804.23
ACS Style
Prakash C. Vaghela; Chirag Gabani; Hiral D. Mangukiya; Jatin Rajyaguru. Renal Vein Thrombosis in Extremly Low Birth Weight Preterm Neonate & Utility of Bed Side Renal Doppler in NICU. Am. J. Pediatr. 2022, 8(4), 267-270. doi: 10.11648/j.ajp.20220804.23
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Download@article{10.11648/j.ajp.20220804.23,
author = {Prakash C. Vaghela and Chirag Gabani and Hiral D. Mangukiya and Jatin Rajyaguru},
title = {Renal Vein Thrombosis in Extremly Low Birth Weight Preterm Neonate & Utility of Bed Side Renal Doppler in NICU},
journal = {American Journal of Pediatrics},
volume = {8},
number = {4},
pages = {267-270},
doi = {10.11648/j.ajp.20220804.23},
url = {https://doi.org/10.11648/j.ajp.20220804.23},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajp.20220804.23},
abstract = {Renal vein thrombosis (RVT) is though common form of thromboembolism in neonates yet uncommon in extremely low birth weight pre-term neonates. Neonatal thromboembolism is more commonly associated with central venous catheter but we present a case report of an extremely low birth weight preterm with left side RVT which was not associated with central venous catheter and diagnosed by using bedside point of care renal ultrasound in the NICU. Though the incidence of RVT in adults and children is very low in Asian countries, its incidence, risk factors and finale outcome in neonatal RVT may be different from other countries. Acquired as well as genetic risk factors are significantly contributes in thromboembolism in neonate and central venous lines are one of the most common acquired risk factor. However mortality rate associated with renal vein thrombosis is less than other forms of thrombosis in neonate but there is significant degree of short term as well as long term sequelae. Initiation of thrombus formation may be triggered by vascular trauma, decreased vascular blood flow, increased viscosity of blood, thrombophilia or hyper osmolality. The classical triad for the renal vein thrombosis includes thrombocytopenia, hematuria along with unilateral or bilateral mass in flank. We recognised the pitfalls in managing RVT in preterm neonates. RVT, though rare, should be considered in the differential diagnosis while managing a preterm with hematuria or sepsis. Renal venography is the gold standard test for diagnosis of RVT however bedside renal ultrasound is very useful & prompt in diagnosing & monitoring doppler flow in renal vessels in RVT in neonates. There are no evidence based clear guidelines for management of the disease.},
year = {2022}
}
TY - JOUR T1 - Renal Vein Thrombosis in Extremly Low Birth Weight Preterm Neonate & Utility of Bed Side Renal Doppler in NICU AU - Prakash C. Vaghela AU - Chirag Gabani AU - Hiral D. Mangukiya AU - Jatin Rajyaguru Y1 - 2022/12/15 PY - 2022 N1 - https://doi.org/10.11648/j.ajp.20220804.23 DO - 10.11648/j.ajp.20220804.23 T2 - American Journal of Pediatrics JF - American Journal of Pediatrics JO - American Journal of Pediatrics SP - 267 EP - 270 PB - Science Publishing Group SN - 2472-0909 UR - https://doi.org/10.11648/j.ajp.20220804.23 AB - Renal vein thrombosis (RVT) is though common form of thromboembolism in neonates yet uncommon in extremely low birth weight pre-term neonates. Neonatal thromboembolism is more commonly associated with central venous catheter but we present a case report of an extremely low birth weight preterm with left side RVT which was not associated with central venous catheter and diagnosed by using bedside point of care renal ultrasound in the NICU. Though the incidence of RVT in adults and children is very low in Asian countries, its incidence, risk factors and finale outcome in neonatal RVT may be different from other countries. Acquired as well as genetic risk factors are significantly contributes in thromboembolism in neonate and central venous lines are one of the most common acquired risk factor. However mortality rate associated with renal vein thrombosis is less than other forms of thrombosis in neonate but there is significant degree of short term as well as long term sequelae. Initiation of thrombus formation may be triggered by vascular trauma, decreased vascular blood flow, increased viscosity of blood, thrombophilia or hyper osmolality. The classical triad for the renal vein thrombosis includes thrombocytopenia, hematuria along with unilateral or bilateral mass in flank. We recognised the pitfalls in managing RVT in preterm neonates. RVT, though rare, should be considered in the differential diagnosis while managing a preterm with hematuria or sepsis. Renal venography is the gold standard test for diagnosis of RVT however bedside renal ultrasound is very useful & prompt in diagnosing & monitoring doppler flow in renal vessels in RVT in neonates. There are no evidence based clear guidelines for management of the disease. VL - 8 IS - 4 ER -
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