Renal vein thrombosis is a well-known complication of nephrotic syndrome, but rarely its first or only symptom. We describe a 26-year-old patient presenting with flank pain suggestive of renal colic. A computed tomography scan showed acute renal vein thrombosis, the only sign of a later diagnosed nephrotic syndrome. This is a rare presentation of a renal vein thrombosis caused by nephrotic syndrome, and easily misdiagnosed as renal calculi especially in young and otherwise asymptomatic patients.
Intra-abdominal hypertension (IAH) is increasingly recognized in critically ill patients and can result in respiratory, hemodynamic or renal dysfunction. We report the case of a patient suffering from diabetic nephropathy who underwent simultaneous pancreas-kidney transplantation. Within 12 h after the operation, the patient developed IAH resulting in oliguria and a rise in serum creatinine. Surgical abdominal decompression was performed, resulting in immediate restoration of kidney graft function.
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