Right Common Iliac Artery Thrombosis and Aortic Artery Thrombosis Associated with Renal Infarction in Adult Minimal Change Nephrotic Syndrome.
- Author:
Hyun Min CHA
1
;
Sun Ae YOON
;
Jung Min YOON
;
Soon Sub KIM
;
Gi Beom KIM
;
Young Ok KIM
;
Nam Il KIM
;
Ha Hun SONG
;
Young Jin CHOI
;
Byung Kee BANG
Author Information
1. Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea. sayoon@cmc.cuk.ac.kr
- Publication Type:Case Report
- Keywords:
Arterial thrombosis;
Nephrotic syndrome
- MeSH:
Adult*;
Aorta;
Aortography;
Arteries*;
Biopsy;
Cyclophosphamide;
Emergencies;
Female;
Femoral Artery;
Glomerulonephritis;
Humans;
Iliac Artery*;
Infarction*;
Leg;
Middle Aged;
Nephrosis, Lipoid*;
Nephrotic Syndrome;
Pneumonia;
Prognosis;
Renal Artery;
Reperfusion;
Sepsis;
Thrombectomy;
Thrombosis*;
Veins
- From:Korean Journal of Nephrology
2002;21(2):332-336
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The nephrotic syndrome frequently causes a hypercoagulable state, leading to thromboembolic complications in veins, but arterial thrombosis is relatively rare, and is usually associated with a poor prognosis. We report 50-year-old female patient who presented with minimal change disease complicated with aortic and right iliac arterial thrombosis. She was admitted to our hospital with severe pain in her right leg and left flank. No pulse was palpable in her right femoral artery. Aortography demonstrated a focal eccentric thrombus attached to the left wall of aorta, in which the left renal artery was occluded, and another thrombus obstructing the right common iliac artery. An emergency thrombectomy was performed. Although the patient had satisfactory reperfusion of right common iliac artery, her left renal function was not recovered. A renal biopsy revealed histologic evidence of minimal change of glomerulonephritis. After 8 weeks of steroid therapy, cytoxan was started. After 3 weeks, she developed pneumonitis and died with sepsis.
