Korean Journal of Nephrology 1998;17(5):807-806.
폐암과 자궁 경부암에 동반된 신정맥 혈전증 1예 (A Case of Renal Vein Thrombosis in a Patient with Lung and Uterine Cervical Cancer)
최상인, 이승옥, 김원, 박성광, 강성귀, 이상용 (Sang In Choi, Seung Ok Lee, Won Kim, Sung Kwang Park, Sung Kyew Kang and Sang Yong Lee)
Abstract
Thrombosis of one or both renal veins occurs in a variety of settings such as trauma, dehydration, extrinsic compression, nephrotic syndrome, pregnancy, oral contraceptives or invasion by tumor. Nephrotic syndrome and certain carcinomas seem to predispose to the development of renal vein thrombosis. The most common carcinoma which is associated with renal vein thrombosis is the renal cell carcinoma. But, renal vein thrombosis associated with tumor other than renal cell carcinoma is extremely rare. Our patient was diagnosed as lung and uterine cervical cancer by histologic examination. The patient complained of left flank pain. Abdominal CT scan shows the dilated left renal vein filled with hypodense material and parenchymal infarction on the left kidney. Renal arteriography shows cut-off sign on a branch of the left renal artery. Inferior venacavography revealed contrast-filling defect in the left renal vein. To our knowledge, renal vein thrombosis with lung and uterine cervical carcinoma is the first report in English literature. So, we have presented a rare case of a renal vein thrombosis in a patient with lung and uterine cervical cancer.
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