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Isolated renal vein and inferior vena cava thrombosis in a young man with ulcerative colitis: diagnostic challenges and lessons learned
  1. Aditya Prakash Sharma,
  2. Sudheer Kumar Devana,
  3. Shantanu Tyagi and
  4. Shrawan Kumar Singh
  1. Department of Urology, Post Graduate Institute of Medical Education and Research, Chandigarh, India
  1. Correspondence to Dr Shantanu Tyagi; metyagishantanu{at}gmail.com

Abstract

We present a case of a young man, known case of ulcerative colitis, who presented with acute onset right flank pain and haematuria. Blood workup showed leucocytosis and raised serum creatinine. Cross-sectional imaging revealed renal vein with inferior vena cava thrombosis. He had a normal infectious screen and lacked septic features pointing towards non-infectious pathology. The 24-hour urine examination revealed nephrotic range proteinuria. Further evaluation was inconclusive for any defined pathology. Empiric anticoagulation was started and patient responded miraculously with restoration of vascularity to the affected kidney and discharged in stable condition.

  • ulcerative colitis
  • nephrotic syndrome
  • urology

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Footnotes

  • Twitter @SudheerDevana, @metyagishantanu

  • Contributors AS involved in conceptualisation and design. AS, ST and SD contributed to literature search. AS and ST involved in manuscript writing. SKS involved in editing and critical analysis.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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