Traumatic Left Renal Vein Thrombosis Associated With a Grade IV Renal Laceration: A Case Report

Renal vein thrombosis (RVT), defined as the presence of a thrombus in the main renal vein or its tributaries, is a rare clinical entity.While traumatic RVT usually occurs in combination with severe arterial or parenchymal damage, isolated renal venous involvement without arterial injury is extremely rare.We report a case of left renal vein thrombosis following blunt abdominal trauma, without accompanying renal arterial damage.The diagnosis was established by contrast-enhanced computed tomography (CECT) and confirmed intraoperatively.Surgical options range from thrombectomy to nephrectomy.In our patient, kidney salvage was not feasible due to persistent hemodynamic instability and severe associated injuries, necessitating an emergency hemostatic nephrectomy.