Open AccessRenal vein thrombosis as presentation of Non-M3 acute myeloid leukemia in an adult patient
Author(s) -
Sanjoy Kumar Sureka,
Priyank Yadav,
Pradeep Kumar,
Aneesh Srivastava
Publication year - 2017
Publication title -
indian journal of nephrology/indian journal of nephrology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.317
H-Index - 24
eISSN - 1998-3662
pISSN - 0971-4065
DOI - 10.4103/ijn.ijn_54_17
Subject(s) - medicine , leukocytosis , nephrectomy , inferior vena cava , thrombosis , renal vein thrombosis , myeloid leukemia , thrombus , presentation (obstetrics) , leukostasis , deep vein , renal vein , surgery , venous thrombosis , radiology , kidney , leukemia
A 46-year-old male presented with left flank pain and was found to have left nephromegaly with renal vein and inferior vena cava (IVC) thrombus. On hematological evaluation, he had leukocytosis and thrombocytopenia. Further evaluation revealed acute myeloid leukemia (AML). Following initial cytoreductive therapy and supportive care for hyperleukocytosis, he underwent left simple nephrectomy with IVC thrombectomy. Postoperatively, he developed massive thrombosis of infrahepatic IVC with renal failure. Renal venous thrombosis as a rare presentation of AML in adults with leukemic hyperleukocytosis has not been reported. In the absence of clear guidelines, early diagnosis and management are desirable.