K L Narasimhan Dept. of Paediatric Surgery, PGIMER, Chandigarh - 160 012 India
Source of Support: None, Conflict of Interest: None
A 3-year-old male child with (L) sided Wilms' tumour with extensive vena caval thrombus developed acute renal failure following (L) nephrectomy.
In kidney tumours with inferior vena caval (IVC) involvement the difference in the venous drainage of the right and left kidneys makes the (R) kidney more vulnerable to venous hypertension and renal failure following a left nephrectomy. The likely etiology of acute renal shutdown of the opposite kidney in the index case is discussed and preventive measures suggested.