Nephrotic syndrome complicated with portal, splenic, and superior mesenteric vein thrombosis
Kidney Research and Clinical Practice
; : 161-164, 2014.
Article
em En
| WPRIM
| ID: wpr-194868
Biblioteca responsável:
WPRO
ABSTRACT
Thromboembolism is a major complication of nephrotic syndrome. Renal vein thrombosis and deep vein thrombosis are relatively common, especially in membranous nephropathy. However, the incidence of portal vein and superior mesenteric vein (SMV) thrombosis in patients with nephrotic syndrome is very rare. To date, several cases of portal vein thrombosis treated by anticoagulation therapy, not by thrombolytic therapy, have been reported as a complication of nephrotic syndrome. Here, we report a case of portal, splenic, and SMV thrombosis in a patient with a relapsed steroid dependent minimal change disease who was treated successfully with anticoagulation and thrombolytic therapy using urokinase. Radiologic findings and his clinical conditions gradually improved. Six months later, a complete remission of the nephrotic syndrome was observed and the follow-up computed tomography scan showed the disappearance of all portal vein, splenic vein, and SMV thrombi.
Palavras-chave
Texto completo:
1
Base de dados:
WPRIM
Assunto principal:
Veia Porta
/
Veias Renais
/
Veia Esplênica
/
Tromboembolia
/
Trombose
/
Ativador de Plasminogênio Tipo Uroquinase
/
Glomerulonefrite Membranosa
/
Terapia Trombolítica
/
Incidência
/
Seguimentos
Tipo de estudo:
Incidence_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Humans
Idioma:
En
Revista:
Kidney Research and Clinical Practice
Ano de publicação:
2014
Tipo de documento:
Article