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Renal venous diversion: an unusual treatment for renal vein thrombosis.

Ho KJ, Owens CD, Ledbetter SM, Chew DK, Belkin M

Department of General Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, Mass. 02115, USA.

Renal venous thrombosis most commonly occurs in the setting of nephrotic syndrome, hypercoagulability, or dehydration. This can usually be treated with systemic anticoagulation, and the diversion is via natural draining tributaries, eg, adrenal, lumbar, or gonadal veins. Occasionally, renal venous thrombosis results from extension of a thrombotic process, such as a large renal cell carcinoma with tumor thrombus extension into the infrahepatic inferior vena cava resulting in thrombosis of the inferior vena cava and contralateral renal vein. Herein, we report a case of left renal vein thrombosis relieved by diversion through the inferior mesenteric vein.

Published 12 June 2006 in J Vasc Surg, 43(6): 1283-6.
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