Renal Infarction in a Patient with Pulmonary Vein Thrombosis after Left Upper Lobectomy
| Autor: | Michiyasu Hatano, Yasuko Oshima, Shun Manabe, Takamitsu Maehara, Teruhiro Fujii, Marie Nakano, Kosaku Nitta |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2014 |
| Předmět: |
medicine.medical_specialty
business.industry Peripheral infarction Warfarin Infarction Heparin medicine.disease Published online: May 2014 Peripheral Surgery Pulmonary vein Renal infarction Lung resection medicine.anatomical_structure Pulmonary vein thrombosis Nephrology medicine cardiovascular system Abdomen Radiology Thrombus Lung cancer business medicine.drug |
| Zdroj: | Case Reports in Nephrology and Urology |
| ISSN: | 1664-5510 |
| Popis: | A 43-year-old male experienced renal infarction (RI) following left upper lobectomy for lung cancer. The patient complained of acute-onset severe left flank pain on the 14th postoperative day. A contrast-enhanced computed tomography (CT) of the abdomen revealed RI by a large wedge-shaped defect in the left kidney. A chest CT scan located the thrombus in the stump (a blind-ended vessel) of the left superior pulmonary vein. Therefore, thromboembolic RI caused by pulmonary vein thrombosis was suspected. Anticoagulation therapy was initiated with heparin and warfarin to treat RI and to prevent further embolic episodes. Two months later, pulmonary vein thrombosis had resolved without the appearance of additional peripheral infarction. This case emphasizes the need to consider thrombus in the stump of the pulmonary vein as a cause of RI. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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