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Case Report
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Korean J Med. 2014;87(6):743-746. Published online December 1, 2014.
DOI: https://doi.org/10.3904/kjm.2014.87.6.743
- 감염성 장염에 합병된 신정맥 혈전증 1예
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최재혁1, 천종운1, 강기훈1, 김승현1, 김충현1, 윤경현1, 서금수2
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1동강병원 내과
2동강병원 영상의학과
- A Case of Infectious Enteritis complicated by Renal Venous Thrombosis
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Jae Hyuc Choi1, Jong Woon Cheon1, Kee Hoon Kang1, Seung Hyun Kim1, Chung Hyoun Kim1, Kyung Hyun Yun1, Kum Soo Seo2
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1Department of Internal Medicine, Dongkang Medical Center, Ulsan, Korea
2Department of Radiology, Dongkang Medical Center, Ulsan, Korea
- Corresponding author: Jong Woon Cheon ,Tel: +82-52-241-1203, Fax: +82-52-241-1180, Email: oon76@naver.com
- Received: November 6, 2013; Revised: February 7, 2014 Accepted: March 3, 2014.
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- 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.
Keywords :Thrombosis, Renal vein, Enteritis, Infection
