06 August 2019 : Case report
A Case of Isolated Unilateral Right Renal Vein Thrombosis Associated with Bilateral Pulmonary Embolism Treated with Rivaroxaban a Direct-Acting Oral Anticoagulant
Rare diseaseAnthony Matta12ABCDEF*, Khaled Elenizi23ABEG, Rasha AlHarthi2ABEG, Nicolas Moussallem14ABEG, Noureddine Elhajjaji2BE, Thibault Lhermusier2ABE, Didier Carrié2ABE
Am J Case Rep 2019; 20:1152-1154
BACKGROUND: Renal vein thrombosis is uncommon and can be associated with nephrotic syndrome. It is associated with high patient morbidity , and it may lead to thromboembolic event.
CASE REPORT: A 44-year-old woman presented with shortness of breath, chest pain and tightness, due to bilateral pulmonary embolism originating from right renal vein thrombosis. The diagnosis was made by transthoracic echocardiography and enhanced computed tomography (CT) scan of chest, abdomen, and pelvis. No underlying diseases were found. She was treated with heparin infusion therapy and rivaroxaban with good clinical outcome.
CONCLUSIONS: A rare case is presented of isolated unilateral right renal vein thrombosis diagnosed following bilateral pulmonary embolism in a previously healthy 44-year-old woman, which was successfully treated with the DOAC, rivaroxaban.
Keywords: Pulmonary Embolism, Renal Veins, thromboembolism, Anticoagulants, Chest Pain, Dyspnea, Rivaroxaban, Tomography, X-Ray Computed, Venous Thrombosis
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