tailieunhanh - Báo cáo y học: " Elevated maternal lipoprotein (a) and neonatal renal vein thrombosis: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Elevated maternal lipoprotein (a) and neonatal renal vein thrombosis: a case report | Journal of Medical Case Reports BioMed Central Case report Elevated maternal lipoprotein a and neonatal renal vein thrombosis a case report Vivek Subbiah1 and Prabhu Parimi 2 Open Access Address Department of Internal Medicine Pediatrics Case Western Reserve University School of Medicine MetroHealth Medical Center Cleveland OH 44109 USA and 2Division of Neonatology Department of Pediatrics University of Kansas KU Medical Center Kansas City KS 66160 USA Email Vivek Subbiah - vsubbiah@ Prabhu Parimi - pparimi@ Corresponding author Published 10 April 2008 Received 22 April 2007 Journal of Medical Case Reports 2008 2 106 doi 1752-1947-2-106 Accepted 10 April 2008 This article is available from http content 2 1 106 2008 Subbiah and Parimi licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction Renal vein thrombosis although rare in adults is well recognized in neonates and is one of the most common manifestations of neonatal thromboembolic events. The etiology of renal vein thrombosis remains unidentified in the majority of cases. We report a case of renal vein thrombosis in a neonate associated with elevated maternal lipoprotein a . Case presentation A full-term female infant appropriate for gestational age was born via spontaneous vaginal delivery to an 18-year-old primigravida. The infant s birth weight was 3680 g and the Apgar scores were eight and nine at 1 and 5 minutes respectively. Evaluation of the infant in the newborn nursery revealed a palpable mass in the right lumbar area. Tests revealed hematuria and a high serum creatinine level of mg dl. An abdominal ultrasound Doppler flow study demonstrated an enlarged right kidney right renal vein .

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