Successful systemic thrombolysis of both the inferior vena cava and a renal vein thrombi that complicated nephrotic syndrome / 대한내과학회지
Korean Journal of Medicine
; : 448-452, 2007.
Article
en Ko
| WPRIM
| ID: wpr-22158
Biblioteca responsable:
WPRO
ABSTRACT
Nephrotic syndrome has been considered a hypercoagulable state because thromboembolic events of the venous or the arterial circulations occur on occasion. There are various risk factors for thromboembolism in patients with nephrotic syndrome (membranous nephropathy, severe hypoalbuminemia, hemoconcentration and medications such as steroid and diuretics). As thromboembolism is often fatal, early detection and proper management are important. Although anticoagulation is the preferred therapy, thrombolysis may be considered for an extensive thrombosis, for inferior vena cava (IVC) thrombosis, for recurrent pulmonary thromboembolism and for bilateral renal vein thrombosis in conjunction with acute renal failure. We report here on a case of renal vein and IVC thrombosis in a 24-year-old male with nephrotic syndrome, and this patient was treated with intravenous thrombolytics rather than anticoagulation and local thrombolytic infusion. He complained of left flank pain and his CT scan revealed left renal vein thrombosis and IVC thrombosis. After urokinase infusion, his thrombi were resolved successfully without bleeding complications.
Palabras clave
Texto completo:
1
Base de datos:
WPRIM
Asunto principal:
Embolia Pulmonar
/
Venas Renales
/
Tromboembolia
/
Trombosis
/
Vena Cava Inferior
/
Activador de Plasminógeno de Tipo Uroquinasa
/
Tomografía Computarizada por Rayos X
/
Factores de Riesgo
/
Dolor en el Flanco
/
Hipoalbuminemia
Tipo de estudio:
Etiology_studies
/
Risk_factors_studies
/
Screening_studies
Límite:
Humans
/
Male
Idioma:
Ko
Revista:
Korean Journal of Medicine
Año:
2007
Tipo del documento:
Article