Renal Vein Thrombosis Clinical Presentation

Updated: Aug 27, 2020
  • Author: Igor A Laskowski, MD; Chief Editor: Vincent Lopez Rowe, MD, FACS  more...
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History and Physical Examination

The presentation of renal vein thrombosis (RVT) is variable, and patients may be asymptomatic. When RVT occurs as a result of malignancy, the signs of the renal malignancy (eg, hematuria, weight loss) predominate.

The more common chronic form of RVT is generally covert. The less frequent acute form usually occurs in younger patients, with flank pain and macroscopic hematuria, which can be severe in the acute onset of thrombosis. Patients may present with thrombosis, pulmonary embolism, or both.

The patient should be observed for signs of nephrotic syndrome (edema or anasarca).



Potential complications include the following: