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Medical Science Monitor Basic Research


A Case of Isolated Unilateral Right Renal Vein Thrombosis Associated with Bilateral Pulmonary Embolism Treated with Rivaroxaban a Direct-Acting Oral Anticoagulant

Rare disease

Anthony Matta, Khaled Elenizi, Rasha AlHarthi, Nicolas Moussallem, Noureddine Elhajjaji, Thibault Lhermusier, Didier CarriƩ

Lebanon Faculty of Medicine, Holy Spirit University of Kaslik, Kaslik, Lebanon

Am J Case Rep 2019; 20:1152-1154

DOI: 10.12659/AJCR.916638

Available online: 2019-08-06

Published: 2019-08-06


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