Mihaela Cordeanu’s Post

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MCU-PH Médecine Vasculaire @ University of Strasbourg | Vascular Medicine

[#DAILYCASES] 3️⃣7️⃣: 33 yo 🚹 initially hospitalized in a secondary healthcare facility for suspicion of left #pyelonephritis and pneumonia that further on proved to be a bilateral #RenalVeinThrombosis extended to the #IVC with #PulmonaryEmbolism ➡️ #eGFR 105ml/min/1,73m2 ➡️ #CT showed #renalVeinThrombosis with no evidence of renal neoplasia ➡️ #RenalUS showed: 1️⃣ total occlusion and enlargement of both renal veins 2️⃣ extension of the right renal vein thrombosis to the IVC 3️⃣ no impact on the arterial circulation (no flow reversal) which probably accounts for a delayed diagnosis and hemodynamic compensation through collateral development ⏩️ Etiological assessment is ongoing (cancer, thrombophilia etc) as for #UnusualSiteThrombosis ⏩️ Thrombolysis was not performed ⏭️ Anticoagulant treatment with #DOACs was initiated #imagechallenge #PhilipsAffiniti70 CHRU de Strasbourg - Hôpitaux Universitaires de Strasbourg

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Jean Pierre LAROCHE

Médecin Vasculaire en Cabinet libéral et CHU Montpellier

7mo

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