A Case of Infectious Enteritis complicated by Renal Venous Thrombosis.
10.3904/kjm.2014.87.6.743
- Author:
Jae Hyuc CHOI
1
;
Jong Woon CHEON
;
Kee Hoon KANG
;
Seung Hyun KIM
;
Chung Hyoun KIM
;
Kyung Hyun YUN
;
Kum Soo SEO
Author Information
1. Department of Internal Medicine, Dongkang Medical Center, Ulsan, Korea. oon76@naver.com
- Publication Type:Case Report
- Keywords:
Thrombosis;
Renal vein;
Enteritis;
Infection
- MeSH:
Abdominal Pain;
Abscess;
Aged;
Diarrhea;
Enteritis*;
Fasting;
Female;
Fever;
Follow-Up Studies;
Humans;
Nephrotic Syndrome;
Pyelonephritis;
Renal Veins;
Thrombosis;
Tomography, X-Ray Computed;
Venous Thrombosis*;
Vomiting;
Warfarin
- From:Korean Journal of Medicine
2014;87(6):743-746
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Renal venous thrombosis occurs, for the most part, as secondary to nephrotic syndrome. In relation to infection, cases complicated with acute pyelonephritis and renal abscess have been reported. A 71-year-old woman was admitted due to vomiting, abdominal pain, watery diarrhea, and fever. Abdominal computed tomography (CT) revealed diffuse thickening of the small intestinal wall and left renal venous thrombosis. The enteritis rapidly resolved with conservative treatment including fasting and antibiotic therapy; anticoagulation therapy was started. After 3 months, the renal vein thrombosis had much improved, but a tiny remnant thrombus was seen on follow-up abdominal CT. After 4 months of additional anticoagulation therapy, the remnant thrombus remained unchanged, at which point warfarin was switched to clopidogrel, an antiplatelet agent, and after 8 months the remnant thrombus was no longer visible on abdominal CT.
