Antenatal bilateral renal vein and vena cava thrombosis in d
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Antenatal renal vein thrombosis is a rarely described diagnostic finding, with variable consequences on kidney function. Case Report: We present the unusual case of a dichorionic twin pregnancy in 34 weeks of gestation with one affected fetus, showing already intrauterine a bilateral hyperechoic kidneys with a left kidney increased in size and cardiotocographic signs of fetal distress, while dichorionic male co-twin was healthy. At birth, there was no heartbeat of the affected fetus despite resuscitation. Clinical examination of the stillborn showed that both kidneys were bulky. At autopsy, it was a stillborn boy, with enlarged hemorrhagic kidneys, and thrombosis of the renal and adrenal veins, extending to the inferior vena cava, with no sign of fetal hydrops except for a moderate pleural effusion. Histological examination confirmed the presence of hemorrhagic infarction by massive bleeding with thrombosis of both renal veins and supra-renal vena cava. The postnatal thrombophilia investigations revealed a heterozygous mutation in the MTHFR gene with no associated hyperhomocysteinemia....

http://www.edoriumjournals.com/journal-of-case-reports-and-images-in-obstetrics-and-gynecology/archive/2015-archive/100005Z08MK2015-kdous/100005Z08MK2015-kdous-full-text.php
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