A Case of Acute Pancreatitis: Portal Vein Superimposed Thrombosis in a Nephritic Syndrome Patient

Autor:	Jihyung Yoo, Woo Kyung Sung, Ki Tae Bang, Jong Ho Shin, Su A Yun, Jin Uk Jeong, Nak Min Kim
Rok vydání:	2015
Předmět:	medicine.medical_specialty Abdominal pain business.industry Warfarin medicine.disease Thrombosis Surgery Nephritic syndrome medicine Acute pancreatitis Pancreatitis Minimal change disease medicine.symptom business Nephrotic syndrome medicine.drug
Zdroj:	Korean Journal of Medicine. 88:212
ISSN:	2289-0769 1738-9364
DOI:	10.3904/kjm.2015.88.2.212
Popis:	Nephrotic syndrome is characterized by hypercoagulability and thrombosis of the renal and deep veins. We describe a case of unusual thrombosis in the portal and superior mesenteric veins of a 41-year-old female, admitted for treatment of abdominal pain, who simultaneously presented with nephrotic syndrome and acute pancreatitis. Laboratory analysis revealed hypoalbuminemia, hyperlipidemia, and proteinuria. Abdominal computed tomography revealed acute pancreatitis, thrombosis at the portal and superior mesenteric veins, and ischemic changes in the colon and small intestines. Anticoagulation therapy was started immediately. Abdominal pain was subsequently reduced and the ischemic lesion disappeared. Warfarin use could not be terminated immediately. Empirical steroid therapy commenced without a kidney biopsy. Complete remission occurred after 4 weeks. Following warfarin cessation, a kidney biopsy was performed, confirming the diagnosis of minimal change disease. (Korean J Med 2015;88:212-217)
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::988feba362bb21492ce4b5e951561871 https://doi.org/10.3904/kjm.2015.88.2.212 Zobrazit plný text záznamu