Renal failure following unilateral nephrectomy in Wilms′ tumour

Abstract

A 3-year-old male child with (L) sided Wilms′ tumour with extensive vena caval thrombus developed acute re-nal failure following (L) nephrectomy. In kidney tumours with inferior vena caval (IVC) in-volvement the difference in the venous drainage of the right and left kidneys makes the (R) kidney more vulner-able to venous hypertension and renal failure following a left nephrectomy. The likely etiology of acute renal shut-down of the opposite kidney in the index case is discussed and preventive measures suggested.

Keywords

• Caval Thrombrosis; Wilms′ Tumour; Renal Failure.