August 1967

Renal Artery Thrombosis in Newborn Infants

Author Affiliations

From the Department of Surgery (Urology), The New York Hospital, New York (Dr. Woodard), and the departments of surgery (Urology) (Dr. Woodard), and pediatrics (Drs. Patterson and Brinsfield), Emory University School of Medicine, Henrietta Egleston Hospital for Children, Atlanta.

Am J Dis Child. 1967;114(2):191-194. doi:10.1001/archpedi.1967.02090230121016

RENAL ARTERY thrombosis in the newborn has been reported rarely and only from autopsy statistics. Two cases are presented here to illustrate the clinical features of this condition. One of the patients recovered following early nephrectomy, indicating the need for prompt recognition.

Report of Cases  Case 1.—A male infant (NYH #942586),1 the product of a normal pregnancy and vacuum extraction delivery on May 7, 1963, weighed 4.8 kg (10.6 lb), and was noted at birth to have extreme acrocyanosis and a slight respiratory moan, both of which persisted the following day. On the day after birth he had a pulse rate of 170 beats per minute; respiratory rate, 140 per minute; and temperature, 37 C (98.6 F). His liver was palpable 3 cm below the right costal margin. Complete blood cell count (CBC) and cerebrospinal fluid (CSF) were normal. Serum electrolyte values included: sodium, 136 mEq/liter; potassium, 5.7 mEq/liter;

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