Anuria due to acute bilateral renal vein occlusion after thrombolysis for pulmonary embolism.

Severe hemorrhage is the more frequent complication of thrombolysis, with intracranial bleeding the most critical one. We report a 73-year-old woman with major pulmonary embolism (PE), yet haemodynamically stable, in whom thrombolysis resulted in severe complications with acute renal failure (ARF) due to bilateral renal vein occlusion, quite unexpected; this complication has never been reported, as yet. We believe that disrupture of peripheral vein clots by thrombolysis led to migration of thrombi particles upwards to the inferior vena cava (IVC) and bilateral renal vein occlusion.

Hemorrhagic cardiac tamponade in critically ill patients with acute renal failure.

Purpose: The purpose of this study was to report the development, management, and follow up of tamponading uremic pericardial effusion in critically ill patients with acute renal failure.

Setting: The setting for this study was an adult, 24-bed tertiary multidisciplinary intensive care unit (ICU) of a university hospital.

Patients: The subjects were 5 critically ill patients with multiple organ failure including acute renal failure (ARF) that was slow to resolve.