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Saudi Journal of Kidney Diseases and Transplantation
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CASE REPORT Table of Contents   
Year : 2013  |  Volume : 24  |  Issue : 3  |  Page : 566-570
Unusual presentation of renal vein thrombosis with pulmonary artery embolism


Department of Nephrology and Internal Medicine, Bahrain Specialist Hospital, Manama, Kingdom of Bahrain

Correspondence Address:
Jafar Al-Said
Department of Nephrology and Internal Medicine, Bahrain Specialist Hospital, P. O. Box 10588, Manama
Kingdom of Bahrain
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DOI: 10.4103/1319-2442.111068

PMID: 23640633

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A young 23-year-old male patient presented with a two-day history of right flank pain. He had no history of any significant illnesses in the past. His investgations showed nephrotic range proteinuria with hypoalbuminemia. The patient developed cough and shortness of breath after having a left kidney biopsy. He did not respond to regular respiratory tract infection treat­ment. The kidney biopsy revealed membranoproliferative glomerulonephritis. Further investigations for the cough showed thromboembolism of the posterior and lateral basal segments of the right lower lobe. Moreover he was found to have thrombosis of the right upper pole renal vein. The patient was started on full anticoagulation along with three days pulse steroid, followed by 1 mg/kg oral steroid. Clinical improvement was noticed within 48 h. After eight weeks the proteinuria decreased from 8.5 gm/day to 1.1 gm/day. The kidney function was normal with eGFR 145 mL/min through the course of the disease. This case represent one of the unusual presentation of nephrotic syndrome with pulmonary and renal vascular thromboembolic events. The response to the combination of anticoagulation and steroid was remarkable.


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