Renal failure due to renal vein thrombosis in a fetus with growth restriction and thrombophilia
We report a case of renal vein thrombosis diagnosed at 27 weeks of gestation in a dichorionic twin pregnancy. The left kidney of one fetus was hyperechoic and enlarged with echoic streaks following the direction of interlobular veins and the loss of corticomedullary differentiation. In the following...
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| Veröffentlicht in: | The journal of obstetrics and gynaecology research 2014-04, Vol.40 (4), p.1124-1127 |
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| container_title | The journal of obstetrics and gynaecology research |
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| creator | Has, Recep Corbacioglu Esmer, Aytul Kalelioglu, Ibrahim H. Yumru, Harika Yüksel, Atil Ziylan, Orhan |
| description | We report a case of renal vein thrombosis diagnosed at 27 weeks of gestation in a dichorionic twin pregnancy. The left kidney of one fetus was hyperechoic and enlarged with echoic streaks following the direction of interlobular veins and the loss of corticomedullary differentiation. In the following weeks, left kidney became smaller and echoic, and Doppler examination showed no flow in both artery and vein. The right kidney had totally normal appearance in the beginning, but it became enlarged and hyperechoic, and progressed into a small echoic kidney with no flow in artery and vein. In the postnatal ultrasound examination, both kidneys appeared hyperechoic with no vascularization in the hilum region. There was thrombosis in arteries and veins of both kidneys, as well as in the inferior vena cava. The investigation for thrombophilia resulted with the combined presence of heterozygote mutation in factor V Leiden and prothrombin 20210 genes. |
| doi_str_mv | 10.1111/jog.12300 |
| format | Article |
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The left kidney of one fetus was hyperechoic and enlarged with echoic streaks following the direction of interlobular veins and the loss of corticomedullary differentiation. In the following weeks, left kidney became smaller and echoic, and Doppler examination showed no flow in both artery and vein. The right kidney had totally normal appearance in the beginning, but it became enlarged and hyperechoic, and progressed into a small echoic kidney with no flow in artery and vein. In the postnatal ultrasound examination, both kidneys appeared hyperechoic with no vascularization in the hilum region. There was thrombosis in arteries and veins of both kidneys, as well as in the inferior vena cava. The investigation for thrombophilia resulted with the combined presence of heterozygote mutation in factor V Leiden and prothrombin 20210 genes.</description><identifier>ISSN: 1341-8076</identifier><identifier>EISSN: 1447-0756</identifier><identifier>DOI: 10.1111/jog.12300</identifier><identifier>PMID: 24612313</identifier><language>eng</language><publisher>Australia</publisher><subject>Activated Protein C Resistance - complications ; Activated Protein C Resistance - genetics ; Activated Protein C Resistance - physiopathology ; Adult ; Cesarean Section ; Factor V - genetics ; Fatal Outcome ; Female ; Fetal Growth Retardation - diagnostic imaging ; Fetal Growth Retardation - etiology ; Heterozygote ; Humans ; Hypoprothrombinemias - complications ; Hypoprothrombinemias - genetics ; Hypoprothrombinemias - physiopathology ; Infant, Newborn ; Live Birth ; Male ; Mutation ; Pregnancy ; prenatal diagnosis ; Prothrombin - genetics ; Renal Insufficiency - diagnostic imaging ; Renal Insufficiency - embryology ; Renal Insufficiency - etiology ; Renal Insufficiency - therapy ; renal vein thrombosis ; Renal Veins - diagnostic imaging ; Renal Veins - embryology ; Treatment Outcome ; Twins, Dizygotic ; Ultrasonography, Prenatal ; ultrasound ; Venous Thrombosis - embryology ; Venous Thrombosis - etiology ; Venous Thrombosis - physiopathology ; Venous Thrombosis - therapy</subject><ispartof>The journal of obstetrics and gynaecology research, 2014-04, Vol.40 (4), p.1124-1127</ispartof><rights>2014 The Authors. Journal of Obstetrics and Gynaecology Research © 2014 Japan Society of Obstetrics and Gynecology</rights><rights>2014 The Authors. Journal of Obstetrics and Gynaecology Research © 2014 Japan Society of Obstetrics and Gynecology.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3490-f6b9ebfaefc894d5d848e84914fc413d5f857c0892913dbc0e0e95723c1c16703</citedby><cites>FETCH-LOGICAL-c3490-f6b9ebfaefc894d5d848e84914fc413d5f857c0892913dbc0e0e95723c1c16703</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fjog.12300$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fjog.12300$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27923,27924,45573,45574</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24612313$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Has, Recep</creatorcontrib><creatorcontrib>Corbacioglu Esmer, Aytul</creatorcontrib><creatorcontrib>Kalelioglu, Ibrahim H.</creatorcontrib><creatorcontrib>Yumru, Harika</creatorcontrib><creatorcontrib>Yüksel, Atil</creatorcontrib><creatorcontrib>Ziylan, Orhan</creatorcontrib><title>Renal failure due to renal vein thrombosis in a fetus with growth restriction and thrombophilia</title><title>The journal of obstetrics and gynaecology research</title><addtitle>J Obstet Gynaecol Res</addtitle><description>We report a case of renal vein thrombosis diagnosed at 27 weeks of gestation in a dichorionic twin pregnancy. The left kidney of one fetus was hyperechoic and enlarged with echoic streaks following the direction of interlobular veins and the loss of corticomedullary differentiation. In the following weeks, left kidney became smaller and echoic, and Doppler examination showed no flow in both artery and vein. The right kidney had totally normal appearance in the beginning, but it became enlarged and hyperechoic, and progressed into a small echoic kidney with no flow in artery and vein. In the postnatal ultrasound examination, both kidneys appeared hyperechoic with no vascularization in the hilum region. There was thrombosis in arteries and veins of both kidneys, as well as in the inferior vena cava. The investigation for thrombophilia resulted with the combined presence of heterozygote mutation in factor V Leiden and prothrombin 20210 genes.</description><subject>Activated Protein C Resistance - complications</subject><subject>Activated Protein C Resistance - genetics</subject><subject>Activated Protein C Resistance - physiopathology</subject><subject>Adult</subject><subject>Cesarean Section</subject><subject>Factor V - genetics</subject><subject>Fatal Outcome</subject><subject>Female</subject><subject>Fetal Growth Retardation - diagnostic imaging</subject><subject>Fetal Growth Retardation - etiology</subject><subject>Heterozygote</subject><subject>Humans</subject><subject>Hypoprothrombinemias - complications</subject><subject>Hypoprothrombinemias - genetics</subject><subject>Hypoprothrombinemias - physiopathology</subject><subject>Infant, Newborn</subject><subject>Live Birth</subject><subject>Male</subject><subject>Mutation</subject><subject>Pregnancy</subject><subject>prenatal diagnosis</subject><subject>Prothrombin - genetics</subject><subject>Renal Insufficiency - diagnostic imaging</subject><subject>Renal Insufficiency - embryology</subject><subject>Renal Insufficiency - etiology</subject><subject>Renal Insufficiency - therapy</subject><subject>renal vein thrombosis</subject><subject>Renal Veins - diagnostic imaging</subject><subject>Renal Veins - embryology</subject><subject>Treatment Outcome</subject><subject>Twins, Dizygotic</subject><subject>Ultrasonography, Prenatal</subject><subject>ultrasound</subject><subject>Venous Thrombosis - embryology</subject><subject>Venous Thrombosis - etiology</subject><subject>Venous Thrombosis - physiopathology</subject><subject>Venous Thrombosis - therapy</subject><issn>1341-8076</issn><issn>1447-0756</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kM9PwjAUxxujEUQP_gOmRz0M2q3b2qMhihoSEqPnZuteoWSj2G4S_nsrA2--y_v1ed-8fBG6pWRMQ0zWdjmmcULIGRpSxvKI5Gl2HuqE0YiTPBugK-_XhNBcUH6JBjHLAk-TIZLvsClqrAtTdw5w1QFuLXaH4TeYDW5Xzjal9cbj0BVYQ9t5vDPtCi-d3YXkwLfOqNbYsN9Up4vtytSmuEYXuqg93BzzCH0-P31MX6L5YvY6fZxHKmGCRDorBZS6AK24YFVaccaBM0GZVowmVap5mivCRSxCVyoCBESax4miimY5SUbovtfdOvvVhY9kY7yCui42YDsvaUoTwkRMs4A-9Khy1nsHWm6daQq3l5TIXz9l8FMe_Azs3VG2Kxuo_siTgQGY9MDO1LD_X0m-LWa95A9klH-f</recordid><startdate>201404</startdate><enddate>201404</enddate><creator>Has, Recep</creator><creator>Corbacioglu Esmer, Aytul</creator><creator>Kalelioglu, Ibrahim H.</creator><creator>Yumru, Harika</creator><creator>Yüksel, Atil</creator><creator>Ziylan, Orhan</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201404</creationdate><title>Renal failure due to renal vein thrombosis in a fetus with growth restriction and thrombophilia</title><author>Has, Recep ; Corbacioglu Esmer, Aytul ; Kalelioglu, Ibrahim H. ; Yumru, Harika ; Yüksel, Atil ; Ziylan, Orhan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3490-f6b9ebfaefc894d5d848e84914fc413d5f857c0892913dbc0e0e95723c1c16703</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Activated Protein C Resistance - complications</topic><topic>Activated Protein C Resistance - genetics</topic><topic>Activated Protein C Resistance - physiopathology</topic><topic>Adult</topic><topic>Cesarean Section</topic><topic>Factor V - genetics</topic><topic>Fatal Outcome</topic><topic>Female</topic><topic>Fetal Growth Retardation - diagnostic imaging</topic><topic>Fetal Growth Retardation - etiology</topic><topic>Heterozygote</topic><topic>Humans</topic><topic>Hypoprothrombinemias - complications</topic><topic>Hypoprothrombinemias - genetics</topic><topic>Hypoprothrombinemias - physiopathology</topic><topic>Infant, Newborn</topic><topic>Live Birth</topic><topic>Male</topic><topic>Mutation</topic><topic>Pregnancy</topic><topic>prenatal diagnosis</topic><topic>Prothrombin - genetics</topic><topic>Renal Insufficiency - diagnostic imaging</topic><topic>Renal Insufficiency - embryology</topic><topic>Renal Insufficiency - etiology</topic><topic>Renal Insufficiency - therapy</topic><topic>renal vein thrombosis</topic><topic>Renal Veins - diagnostic imaging</topic><topic>Renal Veins - embryology</topic><topic>Treatment Outcome</topic><topic>Twins, Dizygotic</topic><topic>Ultrasonography, Prenatal</topic><topic>ultrasound</topic><topic>Venous Thrombosis - embryology</topic><topic>Venous Thrombosis - etiology</topic><topic>Venous Thrombosis - physiopathology</topic><topic>Venous Thrombosis - therapy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Has, Recep</creatorcontrib><creatorcontrib>Corbacioglu Esmer, Aytul</creatorcontrib><creatorcontrib>Kalelioglu, Ibrahim H.</creatorcontrib><creatorcontrib>Yumru, Harika</creatorcontrib><creatorcontrib>Yüksel, Atil</creatorcontrib><creatorcontrib>Ziylan, Orhan</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The journal of obstetrics and gynaecology research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Has, Recep</au><au>Corbacioglu Esmer, Aytul</au><au>Kalelioglu, Ibrahim H.</au><au>Yumru, Harika</au><au>Yüksel, Atil</au><au>Ziylan, Orhan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Renal failure due to renal vein thrombosis in a fetus with growth restriction and thrombophilia</atitle><jtitle>The journal of obstetrics and gynaecology research</jtitle><addtitle>J Obstet Gynaecol Res</addtitle><date>2014-04</date><risdate>2014</risdate><volume>40</volume><issue>4</issue><spage>1124</spage><epage>1127</epage><pages>1124-1127</pages><issn>1341-8076</issn><eissn>1447-0756</eissn><abstract>We report a case of renal vein thrombosis diagnosed at 27 weeks of gestation in a dichorionic twin pregnancy. The left kidney of one fetus was hyperechoic and enlarged with echoic streaks following the direction of interlobular veins and the loss of corticomedullary differentiation. In the following weeks, left kidney became smaller and echoic, and Doppler examination showed no flow in both artery and vein. The right kidney had totally normal appearance in the beginning, but it became enlarged and hyperechoic, and progressed into a small echoic kidney with no flow in artery and vein. In the postnatal ultrasound examination, both kidneys appeared hyperechoic with no vascularization in the hilum region. There was thrombosis in arteries and veins of both kidneys, as well as in the inferior vena cava. The investigation for thrombophilia resulted with the combined presence of heterozygote mutation in factor V Leiden and prothrombin 20210 genes.</abstract><cop>Australia</cop><pmid>24612313</pmid><doi>10.1111/jog.12300</doi><tpages>4</tpages></addata></record> |
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| subjects | Activated Protein C Resistance - complications Activated Protein C Resistance - genetics Activated Protein C Resistance - physiopathology Adult Cesarean Section Factor V - genetics Fatal Outcome Female Fetal Growth Retardation - diagnostic imaging Fetal Growth Retardation - etiology Heterozygote Humans Hypoprothrombinemias - complications Hypoprothrombinemias - genetics Hypoprothrombinemias - physiopathology Infant, Newborn Live Birth Male Mutation Pregnancy prenatal diagnosis Prothrombin - genetics Renal Insufficiency - diagnostic imaging Renal Insufficiency - embryology Renal Insufficiency - etiology Renal Insufficiency - therapy renal vein thrombosis Renal Veins - diagnostic imaging Renal Veins - embryology Treatment Outcome Twins, Dizygotic Ultrasonography, Prenatal ultrasound Venous Thrombosis - embryology Venous Thrombosis - etiology Venous Thrombosis - physiopathology Venous Thrombosis - therapy |
| title | Renal failure due to renal vein thrombosis in a fetus with growth restriction and thrombophilia |
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