Renal vein thrombosis is a well-known complication of nephrotic syndrome, but precise and early diagnosis remains a problem. We report a 29-year-old patient presenting with loin pain, oliguria and macroscopic hematuria. A computed tomography scan showed chronic left renal vein thrombosis and acute right renal vein thromboembolism. The thrombus was recanalized with long-term anticoagulant therapy. This report highlights the importance of an early and timely diagnosis and RVT therapy in a patient with nephritic syndrome.
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