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March 1960, Vol 99, No. 3 >
Article | March 1960

Ascending Thrombosis Involving Inferior Vena Cava and Renal Veins FREE

W. T. BRUNS, M.D.
[+] Author Affiliations

Submitted for publication Jan. 9, 1959.


AMA Am J Dis Child. 1960;99(3):276-281. doi:10.1001/archpedi.1960.02070030278004.
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References
Comments

Renal vein thrombosis with hemorrhagic infarction of the kidneys is not a rare occurrence in children, as it was stated recently by Kaufmann,24 who reviewed this subject from the world literature.

Far less frequent is a combined thrombosis of renal veins and inferior vena cava in the pediatric age group. To our knowledge, only one well-documented case of an ascending type of this combined thrombosis has been reported previously, in which instance, however, the diagnosis had not been made prior to the postmortem examination. The following case is presented because it was diagnosed during the patient's life and because the main factor leading to its occurrence had been known, while usually an explanation for the etiology remains warranted.

Report of Case  A 12-month-old white boy was admitted to the Salt Lake General Hospital by reason of sudden onset of left-sided seizures. Two and one-half days prior to his admission

REFERENCES

1 +
Sandblom, P.:  Renal Thrombosis with Infarction in the Newborn: Two Different Forms , Acta paediat . 35:160-167, 1948;.
2 +
Fahr, T.: Über totale Nekrose beider Nieren nach Thrombose der Nierenvenen, thesis, Giessen, 1903.
3 +
Wirtz, A.:  Thrombose der vena cava inferior, der venae renales und suprarenalis sinistra mit tödlichem Ausgang bei einem 15-tägigen Säugling , Jahrb. Kinderh. 72:467-471, 1910;.
4 +
Heller, S.:  Thrombose der beiderseitigen vena renalis bei einem Neugeborenen , Zentralbl. Gynäk. 47:1897-1899, 1923;.
5 +
Eilers, W.:  Zur Kenntnis der primären unteren Hohlvenenthrombose im Säuglingsalter , Arch. path. Anat. 277:248-255, 1930;.
6 +
Helper, A. B.:  Thrombosis in the Renal Veins , J. Urol. 31:527-546, 1934;.
7 +
Behr, E.:  Les Altérations morphologiques du rein dans la thrombose de la veine rénale (recherches anatomo-pathologiques et expérimentales) , Arch. internat. méd. expér. 13:273-334, 1938;.
8 +
Perry, C. B., and Taylor, A. L.:  Hypertension Following Thrombosis of the Renal Veins , J. Path. & Bact. 51:369-374, 1940;.
9 +
Feriozi, D.; Rice, E. C.; Burdick, W. F., and Troendle, F. J.:  Thrombosis of the Inferior Vena Cava and Renal Veins with Hemorrhagic Infarction in Infancy , J. Pediat. 38:235-241, 1951;.
10 +
Kobernick, S. D.; Moore, J. R., and Wiglesworth, F. W.:  Thrombosis of the Renal Veins with Massive Hemorrhagic Infarction of the Kidneys in Childhood , Am. J. Path. 27:435-450, 1951;.
11 +
Stevens, R. C., and Tomsykoski, A. J.:  Thrombosis of the Inferior Vena Cava and Renal Veins with Hemorrhagic Renal Infarction , J. Urol. 72:120-126, 1954;.
12 +
 Clinico-Pathological Conference , Clin. Proc. Child. Hosp. 10:83-86, 1954;.
13 +
Derow, H. A.; Schlesinger, M. J., and Savitz, H. A.:  Chronic Progressive Occlusion of the Inferior Vena Cava and the Renal and Portal Veins: With the Clinical Picture of the Nephrotic Syndrome; Report of a Case, with a Review of the Literature , Arch. Int. Med. 63:626-647, 1939;.
14 +
Feinerman, B.; Burke, E. C., and Bahn, R. C.:  The Nephrotic Syndrome Associated with Renal Vein Thrombosis , J. Pediat. 51:385-391, 1957;.
15 +
Schulz, R.:  Nierenvenenthrombosen beim Säugling , Monatsschr. Kinderh. 105:305-310, 1957;.
16 +
Schröder, K.:  Über die Thrombose der Nierenvenen , Arch path. Anat. 262:634-645, 1926;.
17 +
Färber, E., and Bussel, R.:  Nierenvenenthrombose im Kindesalter , Monatsschr. Kinderh. 48:304-310, 1930;.
18 +
Nordwall, U.:  Un Cas de thrombose, bilatérale de la veine rénale chez une nouveaunée , Acta paediat . 14:186-191, 1932;.
19 +
Ungari, C.:  Su di un Caso di infarto emorragico bilaterale dei reni in un lattante (studio clinico e anatomopatologico) , Lattante 11:55-70, 1940;.
20 +
Fallon, M. L.:  Renal Venous Thrombosis in the Newborn , Arch. Dis. Childhood 24:125-128, 1949;.
21 +
McClelland, C. Q., and Hughes, J. P.:  Thrombosis of the Renal Vein in Infants , J. Pediat . 36:214-227, 1950;.
22 +
Avery, M. E.; Oppenheimer, E. H., and Gordon, H. H.:  Renal Vein Thrombosis in Newborn Infants of Diabetic Mothers , New England J. Med. 256:1134-1138, 1957;.
23 +
Indar, R.:  The Dangers of Indwelling Polyethylene Cannulae in Deep Veins , Lancet 1:284-285, 1959;.
24 +
Kaufmann, H. J.:  Renal Vein Thrombosis , A.M.A.J. Dis. Child. 95:377-384, 1958;.

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References

1 +
Sandblom, P.:  Renal Thrombosis with Infarction in the Newborn: Two Different Forms , Acta paediat . 35:160-167, 1948;.
2 +
Fahr, T.: Über totale Nekrose beider Nieren nach Thrombose der Nierenvenen, thesis, Giessen, 1903.
3 +
Wirtz, A.:  Thrombose der vena cava inferior, der venae renales und suprarenalis sinistra mit tödlichem Ausgang bei einem 15-tägigen Säugling , Jahrb. Kinderh. 72:467-471, 1910;.
4 +
Heller, S.:  Thrombose der beiderseitigen vena renalis bei einem Neugeborenen , Zentralbl. Gynäk. 47:1897-1899, 1923;.
5 +
Eilers, W.:  Zur Kenntnis der primären unteren Hohlvenenthrombose im Säuglingsalter , Arch. path. Anat. 277:248-255, 1930;.
6 +
Helper, A. B.:  Thrombosis in the Renal Veins , J. Urol. 31:527-546, 1934;.
7 +
Behr, E.:  Les Altérations morphologiques du rein dans la thrombose de la veine rénale (recherches anatomo-pathologiques et expérimentales) , Arch. internat. méd. expér. 13:273-334, 1938;.
8 +
Perry, C. B., and Taylor, A. L.:  Hypertension Following Thrombosis of the Renal Veins , J. Path. & Bact. 51:369-374, 1940;.
9 +
Feriozi, D.; Rice, E. C.; Burdick, W. F., and Troendle, F. J.:  Thrombosis of the Inferior Vena Cava and Renal Veins with Hemorrhagic Infarction in Infancy , J. Pediat. 38:235-241, 1951;.
10 +
Kobernick, S. D.; Moore, J. R., and Wiglesworth, F. W.:  Thrombosis of the Renal Veins with Massive Hemorrhagic Infarction of the Kidneys in Childhood , Am. J. Path. 27:435-450, 1951;.
11 +
Stevens, R. C., and Tomsykoski, A. J.:  Thrombosis of the Inferior Vena Cava and Renal Veins with Hemorrhagic Renal Infarction , J. Urol. 72:120-126, 1954;.
12 +
 Clinico-Pathological Conference , Clin. Proc. Child. Hosp. 10:83-86, 1954;.
13 +
Derow, H. A.; Schlesinger, M. J., and Savitz, H. A.:  Chronic Progressive Occlusion of the Inferior Vena Cava and the Renal and Portal Veins: With the Clinical Picture of the Nephrotic Syndrome; Report of a Case, with a Review of the Literature , Arch. Int. Med. 63:626-647, 1939;.
14 +
Feinerman, B.; Burke, E. C., and Bahn, R. C.:  The Nephrotic Syndrome Associated with Renal Vein Thrombosis , J. Pediat. 51:385-391, 1957;.
15 +
Schulz, R.:  Nierenvenenthrombosen beim Säugling , Monatsschr. Kinderh. 105:305-310, 1957;.
16 +
Schröder, K.:  Über die Thrombose der Nierenvenen , Arch path. Anat. 262:634-645, 1926;.
17 +
Färber, E., and Bussel, R.:  Nierenvenenthrombose im Kindesalter , Monatsschr. Kinderh. 48:304-310, 1930;.
18 +
Nordwall, U.:  Un Cas de thrombose, bilatérale de la veine rénale chez une nouveaunée , Acta paediat . 14:186-191, 1932;.
19 +
Ungari, C.:  Su di un Caso di infarto emorragico bilaterale dei reni in un lattante (studio clinico e anatomopatologico) , Lattante 11:55-70, 1940;.
20 +
Fallon, M. L.:  Renal Venous Thrombosis in the Newborn , Arch. Dis. Childhood 24:125-128, 1949;.
21 +
McClelland, C. Q., and Hughes, J. P.:  Thrombosis of the Renal Vein in Infants , J. Pediat . 36:214-227, 1950;.
22 +
Avery, M. E.; Oppenheimer, E. H., and Gordon, H. H.:  Renal Vein Thrombosis in Newborn Infants of Diabetic Mothers , New England J. Med. 256:1134-1138, 1957;.
23 +
Indar, R.:  The Dangers of Indwelling Polyethylene Cannulae in Deep Veins , Lancet 1:284-285, 1959;.
24 +
Kaufmann, H. J.:  Renal Vein Thrombosis , A.M.A.J. Dis. Child. 95:377-384, 1958;.

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