Renal vein thrombosis in a recent COVID-19 patient; a case report

Abstract

We report a 74-year-old male with a recent history of COVID-19 pneumonia who was admitted with acute periumbilical and left lower quadrant pain and respiratory distress. Laboratory data showed pre-renal azotemia and microscopic hematuria. An abdominopelvic computerized tomography (CT) scan with intravenous contrast was conducted, showing signs of right renal vein thrombosis (RVT) with extension to inferior vena cava (IVC), without any evidence of renal ischemia. The patient did not have any risk factors for thrombosis except for probable hypercoagulopathy due to COVID-19 and diabetes mellitus. He was not an appropriate candidate for surgical or radiologic thrombectomy, thus received heparin infusion accordingly. Unfortunately, he died after the cardiopulmonary arrest on the second day of admission. Considering his respiratory distress, we suspect pulmonary embolism as the most probable cause of death.

A Case of Renal Vein Thrombosis Associated With COVID-19 Treated With Rivaroxaban

“…Additionally, men have a higher incidence than women. Recently, some cases of RVT have been associated with COVID-19 [ 3 , 4 ]. The association between COVID-19 and thromboembolic complications has been well established and has been attributed to a hypercoagulable state secondary to direct endothelial damage and excessive inflammation caused by the virus [ 1 ].…”