Journal of Postgraduate Medicine, Education and Research

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VOLUME 53 , ISSUE 2 ( April-June, 2019 ) > List of Articles


Thrombosis of Bilateral Renal Veins, Inferior Vena Cava, and Superior Sagittal Sinus with Adrenal Hemorrhage in a Neonate

Guruprasad Peruri, Renu Suthar, Venkataseshan, Anmol Bhatia

Keywords : Adrenal hemorrhage, Renal veins, Thrombosis

Citation Information : Peruri G, Suthar R, V, Bhatia A. Thrombosis of Bilateral Renal Veins, Inferior Vena Cava, and Superior Sagittal Sinus with Adrenal Hemorrhage in a Neonate. J Postgrad Med Edu Res 2019; 53 (2):89-90.

DOI: 10.5005/jp-journals-10028-1320

License: CC BY-NC 4.0

Published Online: 01-06-2019

Copyright Statement:  Copyright © 2019; The Author(s).


We report a preterm male neonate with thrombosis of bilateral renal veins, infra-hepatic inferior vena cava, and superior sagittal sinus as well as left adrenal hemorrhage, which has been seldom reported in the literature. He was managed with appropriate antibiotics, enoxaparin, and supportive care which lead to resolution of thrombosis and normal renal function.

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  1. Resontoc LP, Yap HK. Renal vascular thrombosis in the newborn. Pediatr Nephrol 2016;31:907-915.
  2. Sirachainan N, Limrungsikul A, Chuansumrit A, et al. Incidences, risk factors and outcomes of neonatal thromboembolism. J Matern Fetal Neonatal Med 2018;31:347-351.
  3. Bidadi B, Nageswara Rao AA, Kaur D, et al. Neonatal renal vein thrombosis: role of anticoagulation and thrombolysis-an institutional review. Pediatr Hematol Oncol. 2016;33:59-66.
  4. Sandal G, Arikan E, Kuybulu AE, et al. Unilateral Renal Vein Thrombosis and Adrenal Hemorrhage in A Newborn with Homozygous Factor V Leiden and Heterozygous Of MTHFR-677T, MTHFR-1298C Gene Mutations. Indian J Hematol Blood Transfus 2014;30(Suppl 1): 294-298.
  5. Alabsi SY, Layland T. Adrenal Hemorrhage in Neonates: Unusual Presentation. Neonatal Netw 2015;34:220-226.
  6. Tran-Minh VA, Genin G, Pracros JP, et al. Coexisting calcified inferior vena cava thrombus and adrenal hemorrhage in the neonate: report of three cases. J Clin Ultrasound 1994;22:103-108.
  7. Pohl M, Zimmerhackl LB, Heinen F, et al. Bilateral renal vein thrombosis and venous sinus thrombosis in a neonate with factor V mutation (FV Leiden). J Pediatr 1998;132:159-161.
  8. Klinge J, Scharf J, Rupprecht T, et al. Selective thrombolysis in a newborn with bilateral renal venous and cerebral thrombosis and heterozygous APC resistance. Nephrol Dial Transplant 1998;13: 3205-3207.
  9. Monagle P, Chan AKC, Goldenberg NA, et al. Antithrombotic therapy in neonates and children: Antithrombotic Therapy and Prevention of Thrombosis, 9th ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines. Chest 2012;141: e737S-e801S.
  10. Winyard PJ, Bharucha T, De Bruyn R, et al. Perinatal renal venous thrombosis: presenting renal length predicts outcome. Arch Dis Child Fetal Neonatal Ed 2006;91: F273-278.
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