Telma Zahirian Moghadam
1 
, Hamed Mohseni Rad
2* 1 Social Determinants of Health Research Center, Ardabil University of Medical Sciences, Ardabil, Iran
2 Department of Surgery, School of Medicine and Allied Medical Sciences, Imam Reza Hospital, Ardabil University of Medical Sciences, Ardabil, Iran
Abstract
Renal vessel thrombosis results in kidney loss unless be re-vascularized immediately. We
report a case of right renal vein thrombosis in a 43 years old woman following whiplash
trauma by her husband without any associated parenchymal or arterial injury. She presented
to our emergency center with right flank pain for three days. She reported whiplashing by
her husband 3 days before admission. Abdominopelvic spiral computerized tomography
(CT) with intra-venous contrast showed a non-enhancement, enlargement and peri-renal
fat-stranding in the right kidney. With the diagnosis of renal vein thrombosis following
whiplash, the patient was heparinized 5000 IU sub-cutaneous every 8 hours and discharged
with warfarin after resolution of gross hematuria. Follow-up with nuclear scan 10 weeks later
showed the right kidney is non-function.
Implication for health policy/practice/research/medical education:
Renal vein thrombosis may happen following blunt flank trauma especially in females with low peri- renal fat support.
Please cite this paper as: Zahirian Moghadam T, Mohseni Rad H. A case report of renal vein thrombosis following whiplash by
husband with review article. J Renal Inj Prev. 2020; 9(1): e07. DOI: 10.15171/jrip.2020.07.