Renal Infarction Concurrent with Multiple Venous Thrombosis in Association with Inherited Antithrombin Deficiency / 대한신장학회지
Korean Journal of Nephrology
;
: 523-527, 2011.
Artigo
em Inglês
| WPRIM
| ID: wpr-64075
ABSTRACT
Antithrombin deficiency is a rare condition among the numerous conditions that can lead to a hypercoagulable state, and can manifest as deep vein thrombosis, portal or mesenteric venous thrombosis, pulmonary thromboembolism and cerebrovascular accidents. In this report, we present a case of acute renal infarction and multiple venous thrombosis in a 36-year-old man with a family history of thromboembolism. He presented with a sudden onset of pain in the right flank and was admitted to the emergency room for evaluation. On computed tomography and renal angiography, the diagnosis of acute renal infarction concurrent with portal, splenic and superior mesenteric venous thrombosis was made. Laboratory data revealed parallel decreases in activity and antigen concentration of antithrombin despite normal liver and renal functions. He was treated with intravenous heparin and fresh frozen plasma followed by concomitant warfarin therapy. Taken together, the etiology of acute renal infarction and multiple venous thrombosis was considered to be associated with type I inherited antithrombin deficiency.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Plasma
/
Embolia Pulmonar
/
Tromboembolia
/
Trombose
/
Varfarina
/
Angiografia
/
Heparina
/
Trombose Venosa
/
Deficiência de Antitrombina III
/
Acidente Vascular Cerebral
Limite:
Adulto
/
Humanos
Idioma:
Inglês
Revista:
Korean Journal of Nephrology
Ano de publicação:
2011
Tipo de documento:
Artigo
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