H. Eberhardt (Marburg)  

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Newborn  

N/A  

Thorax-Vessels  

unknown  

Newborn 36th gestational week, abdomen and thorax swelling is massive & edematous. Extremities are only mildly edematous.  

In about 30% of renal vein thromboses, one may find a V. cava thrombosis as well.

The cause is often multifactorial (perinatal acidosis, sepsis, heme concentration and thrombophilia).  

<- view Ultrasound 1

Ultrasound 1: Depiction of a echogenic structure in the area of the middle vena cava inferior in about the level of the renal vein junction. The increased echogenicity of the thrombus shows us that the clot is at least 7 days old.




<- view Ultrasound 2

Ultrasound 2: In the colored doppler, the vena cava inferior shows that the intrahepatic part has freely flowing blood through it.

 

Expert's opinion  

N/A  

The prognosis is dependent on the extent of the renal vein thrombosis and the success of the lysis therapy.  

N/A  

N/A  

1. Medline:
Ries M, Deeg KH
Thromboembolische Erkrankungen im Kindesalter
Pädiat Prax 56: 401-415 (1999)

2. Medline:
Heller C, Schobess R, Kurnik K, Junker R, Günther G, Kreuz W, Nowak-Göttl U
Abdominal venous thrombosis in neonates and infants: role of prothrombotic risk factors – a multicentre case-control study.
Br J Haematol 111:534-539( 2000)  

Vena cava inferior thrombosis, renal vein thrombosis, thrombosis of the IVC, IVC thrombosis, thrombosis of the renal vein, IVC thrombosis, swelling, edema, thorax, abdomen, perinatal acidosis, sepsis, hemoconcentration, thrombophilia, RVT, child, childhood, pediatric radiology  

H Eberhardt. IVC Thrombosis with Renal Vein Thrombosis (RVT) in a Newborn. PedRad [serial online] vol 3, no. 5.
URL: www.PedRad.info/?search=20030510093150