Thrombosis in Inferior Vena Cava Due to Enlarged Renal Cysts in Autosomal Dominant Polycystic Kidney Disease
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- Maeda Takahiro
- Department of Urology, Keiyu Hospital Department of Urology, Keio University School of Medicine
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- Uchida Yasumitsu
- Department of Urology, Keiyu Hospital
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- Oyamada Kazuhiro
- Department of Cardiology, Keiyu Hospital
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- Nakajima Fumio
- Department of Urology, Keiyu Hospital
書誌事項
- 公開日
- 2010
- 資源種別
- journal article
- DOI
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- 10.2169/internalmedicine.49.3748
- 公開者
- 一般社団法人 日本内科学会
この論文をさがす
説明
We report a rare case of thrombosis in the inferior vena cava (IVC) due to enlarged cysts in autosomal dominant polycystic kidney disease. A 71-year-old woman visited our hospital with a complaint of rapid left lower extremity swelling. Computed tomography (CT) revealed massive thrombosis from the IVC to the bilateral common iliac vein. The extrinsic mechanical stress of renal cysts to the IVC seemed to have induced thrombosis in the vein that resulted in the cause of severe edema in the left lower extremity. Her renal cysts were percutaneously punctured for the relief of compression and she received injection of 99.5% ethanol for prevention against reaccumulation of cyst fluid after IVC filter had been positioned. The edema of her left lower extremity improved temporarily, however, follow-up CT two months after cyst puncture showed reaccumulation of the fluid. Therefore, excision of the responsible cyst wall by open surgery was carried out.<br>
収録刊行物
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- Internal Medicine
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Internal Medicine 49 (17), 1891-1894, 2010
一般社団法人 日本内科学会
