Infant Journal
Browse articlesRenal vein thrombosis in neonates with acute kidney injury; using ultrasound to facilitate early detection
Renal vein thrombosis (RVT) usually presents in the first month of life and is associated with acute kidney injury (AKI). This case series examines five cases of RVT that occurred in a large tertiary neonatal intensive care unit in the northwest of England between 2019 and 2022.
Silvie HitmarovaNeonatal ST7 GRID trainee, North-West School of Paediatrics
Hannah Brophy
Consultant Neonatologist, Liverpool Women’s Hospital NHS Foundation Trust
Kate Taylor-Robinson
Consultant Paediatric Radiologist, Alder Hey Children’s Hospital, Liverpool
Alison Bedford Russell
Consultant Neonatologist, Liverpool Women’s Hospital NHS Foundation Trust
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Keywords
renal vein thrombosis; renal ultrasound; thrombocytocaemia; acute kidney injury; Doppler; hypertension; haematuria
Key points
- Renal vein thrombosis usually presents in the first month of life.
- Renal vein thrombosis is associated with acute kidney injury.
- The haemostatic system differs with age and the concentration of anticoagulants such as antithrombin, proteins C and S are low at birth.
- Data implies that there should be a higher index of suspicion.
- Earlier Dopplers and ultrasound scans should be carried out.
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