A case of isolated unilateral right renal vein thrombosis associated with bilateral pulmonary embolism treated with rivaroxaban a direct-acting oral anticoagulant

Objective: Background: Case Report: Conclusions: Rare disease Renal vein thrombosis is uncommon and can be associated with nephrotic syndrome. It is associated with high patient morbidity, and it may lead to thromboembolic event. A 44-year-old woman presented with shortness of breath, chest pain and tightness, due to bilateral pulmonary embolism originating from right renal vein thrombosis. The diagnosis was made by transthoracic echocardiog-raphy and enhanced computed tomography (CT) scan of chest, abdomen, and pelvis. No underlying diseases were found. She was treated with heparin infusion therapy and rivaroxaban with good clinical outcome. A rare case is presented of isolated unilateral right renal vein thrombosis diagnosed following bilateral pulmonary embolism in a previously healthy 44-year-old woman, which was successfully treated with the DOAC, rivaroxaban.