Segmental renal vein thrombosis: An unusual complication of acute pyelonephritis

Mohamed Ben Hassine; Houssem Ben Hadj Alouane; Mohamed Amine Oueslati; El Mamoun Fassi Fihri; Chiraz Chammakhi; Sami Ben Rhouma

doi:10.1016/j.eucr.2023.102444

Segmental renal vein thrombosis: An unusual complication of acute pyelonephritis

Urol Case Rep. 2023 May 22:49:102444. doi: 10.1016/j.eucr.2023.102444. eCollection 2023 Jul.

Authors

Mohamed Ben Hassine¹, Houssem Ben Hadj Alouane¹, Mohamed Amine Oueslati¹, El Mamoun Fassi Fihri¹, Chiraz Chammakhi¹, Sami Ben Rhouma¹

Affiliation

¹ Habib Thameur Hospital, Department of Urology, 1089 Ali Ben Ayed St, Tunis, Tunisia.

Abstract

Renal vein thrombosis is not a common manifestation in the context of acute pyelonephritis. We report the case of a 29-year-old female diabetic patient that was admitted to our department for an episode of complicated acute pyelonephritis. Initial imaging showed a left lower polar abscess of 27 mm and urine cultures grew community acquired K. Pneumoniae. Two days after the patient was discharged, she was readmitted with worsening symptoms. Repeat imaging showed stability in the size of the abscess and revealed a left lower segmental vein thrombosis. The patient responded favorably to antibiotics and heparin-warfarin therapy.

Keywords: Acute pyelonephritis; Renal abscess; Renal vein thrombosis.

Publication types

Case Reports