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September 14, 1970

Renal Vein Ligation

Author Affiliations

Brunswick, Ga

JAMA. 1970;213(11):1905. doi:10.1001/jama.1970.03170370089026

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To the Editor:—  While standard textbooks describe in detail the syndrome associated with thrombosis of the renal vein, we have been able to find no report of the consequences of renal vein ligation. We were pleasantly surprised by the lack of ill effects of such a procedure in the case reported below.

Report of a Case.—  A 16-year-old boy was admitted through the emergency room of the Glynn Brunswick Memorial Hospital, Brunswick, Ga, having shot himself in the epigastrium with a 22-caliber rifle a few minutes earlier. After the blood pressure was stabilized with intravenously administered fluids the abdomen was explored. Lacerated wounds of the left lobe of the liver and of the tail of the pancreas were found and repaired. A large hematoma in the space between the aorta and inferior vena cava was opened, with the discovery that the left renal vein and the right renal artery, where