Renal Vein Thrombosis in Idiopathic Thrombocytopenic Purpura PD01-PD02
Dr. Subodh Kumar Das,
Director, Transplant and Renal Sciences, AMRI Hospitals,
Bhubaneswar, Odisha, India.
Renal Vein Thrombosis (RVT) is thrombotic occlusion of one or both main renal veins, resulting in acute or chronic kidney disease. The clinical presentation of RVT depends on the degree of venous occlusion. Of the various causes of RVT, Idiopathic Thrombocytic Purpura (ITP) is a rare occurrence. Use of thrombopoietin receptor agonists, corticosteroids, or splenectomy for the management of ITP may result in thromboembolism. Here, the present authors report a 23-year-old female with ITP who was on medication for the same (prednisolone 20 mg daily), presented with complaints of severe flank pain; ultrasonogram and CT scan revealed RVT. She was started with anticoagulant therapy but had no improvement, hence, she was planned for nephrectomy. The vein was ligated and divided with removal of the left kidney. Thus, while managing patients with ITP, it is important to consider the risk of thromboembolism.