Thrombosis of the renal vein on the right in the newborn
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CIUNTU, Angela, BENEȘ, Svetlana, IGNAT, Adriana, BALUTEL, Tatiana, PÎNZARI, Ludmila, BOCEAROVA, Ludmila, ROLLER, Victor, BERNIC, Jana. Thrombosis of the renal vein on the right in the newborn. In: Perspectives of the Balkan medicine in the post COVID-19 era: The 37th Balkan Medical Week. The 8th congress on urology, dialysis and kidney transplant from the Republic of Moldova “New Horizons in Urology”, Ed. 37, 7-9 iunie 2023, Chişinău. București: Balkan Medical Union, 2023, Ediția 37, p. 255. ISSN Print: ISSN 1584-9244 ISSN-L 1584-9244 Online: ISSN 2558-815X.
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Perspectives of the Balkan medicine in the post COVID-19 era
Ediția 37, 2023
Congresul "Perspectives of the Balkan medicine in the post COVID-19 era"
37, Chişinău, Moldova, 7-9 iunie 2023

Thrombosis of the renal vein on the right in the newborn


Pag. 255-255

Ciuntu Angela12, Beneș Svetlana1, Ignat Adriana1, Balutel Tatiana1, Pînzari Ludmila2, Bocearova Ludmila1, Roller Victor12, Bernic Jana12
 
1 ”Nicolae Testemițanu” State University of Medicine and Pharmacy,
2 Institute of Mother and Child
 
 
Disponibil în IBN: 5 ianuarie 2024


Rezumat

Introduction. Renal vein thrombosis (RVT) is one of the most common forms of neonatal thrombosis, accounting for 15-20% of systemic thromboembolism, which manifests at an average age of 2-3 days. Predisposing factors for RVT in newborns include: dehydration, sepsis, asphyxia, polycythemia, maternal diabetes, congenital defects of the renal vein, umbilical venous catheters. Material and methods. Description of a clinical case of RVT in the newborn based on the information collected from the medical sheet. Results. A 12 days-old baby girl, born on term, admitted in serious condition, with hematuria. On physical examination, the skin and mucous membranes were clean, normal in color. The abdomen was soft to palpation, in the right flank with signs of crepitation. Diuresis was 4.9 ml/kg/ hour. Laboratory examination showed leukocytosis with left deviation (WBC- 27.0x109/l, nonsegmented -19.0x109/l), thrombocytopenia -112x109/l, hematocrit -46, fibrinogen -2.89 g/l, prothrombin index -78%, ASAT -62.3 U/L, total protein - 51.0 g/l, serum creatinine -91 μmol/l, blood urea -5.4 mmol/l, proteinuria - 3.0 g/l, and gross hematuria (unchanged erythrocytes cover the field of view). On ultrasonography was found that the right kidney is enlarged-70x44mm, parenchyma 16 mm, irregular contur, increased echogenity. Renal angiography provided data for thrombosis of the inferior vena cava and right kidney with pathological changes characteristic for global renal infarction. The treatment included anticoagulants, correction of the fluid, electrolytes, and acid-base imbalance. Conclusion. Patients with RVT remain at higher risk of morbidity and/ or long-term mortality, including hypertension and chronic kidney disease(CKD), which requires monotorization and dynamic supervision to initiate early intervention and prevent complications.