Thrombosis in Inferior Vena Cava Due to Enlarged Renal Cysts in Autosomal Dominant Polycystic Kidney Disease
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概要
- 論文の詳細を見る
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.
著者
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Nakajima Fumio
Department Of Biology New Drug Research Laboratories Kanebo Ltd.
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Maeda Takahiro
Department Of Applied Chemistry Keio University
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Uchida Yasumitsu
Department Of Urology Keio University School Of Medicine
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Oyamada Kazuhiro
Department of Cardiology, Keiyu Hospital
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