Diagnóstico prenatal de trombosis venosa renal fetal

Marta Rondón-Tapia; Eduardo Reyna-Villasmil; Avelin Vargas-García

doi:10.31403/rpgo.v63i2003

Authors

Marta Rondón-Tapia Médica cirujana, Residente del Postgrado de Ginecología y Obstetricia; Servicio de Obstetricia y Ginecología, Maternidad “Dr. Nerio Belloso”, Hospital Central “Dr. Urquinaona”, Maracaibo, Estado Zulia, Venezuela
Eduardo Reyna-Villasmil Doctor en Ciencias Médicas, Especialista en Ginecología y Obstetricia, Servicio de Obstetricia y Ginecología, Maternidad “Dr. Nerio Belloso”, Hospital Central “Dr. Urquinaona”, Maracaibo, Estado Zulia, Venezuela
Avelin Vargas-García Especialista en Ginecología y Obstetricia; Servicio de Obstetricia y Ginecología, Maternidad “Dr. Nerio Belloso”, Hospital Central “Dr. Urquinaona”, Maracaibo, Estado Zulia, Venezuela

DOI:

https://doi.org/10.31403/rpgo.v63i2003

Abstract

Fetal renal vein thrombosis is an uncommon diagnosis associated to inherited thrombophilia as well as prothrombotic clinical conditions. The typical ultrasound findings include enlargement of the affected kidney with parenchymal hyperechogenicity. We present a case of fetal renal venous thrombosis. A 27-year-old pregnant woman with 31 weeks pregnancy was referred for evaluation of a fetal abdominal mass. Ultrasound showed an enlarged and echogenic right fetal kidney. The renal pelvis was not visible, and there was absence of corticomedullary differentiation. The left kidney was normal in appearance. Doppler examination showed no blood flow in the vein of the right kidney. The investigation for thrombophilia was negative. Postnatal imaging proofed right renal vein thrombosis extending to the inferior vena cava.