A Case of Systemic Thrombolysis in the Membranous Glomerulonephritis Presenting as Acute Inferior Vena Cava and Renal Vein Thrombosis

Korean Journal of Nephrology 2010;29(4):489-493.

Yoon Jung Kang, M.D.1, Sung Woo Cho, M.D.1, Tae Hoon Kim, M.D.1, Mee Won Hwang, M.D.1, Hye Young Lee, M.D.1, Sung Kyun Cho, M.D.1, Hyun-Jung Kim, M.D.2, Sang Hyun Kim, M.D.1 and Won Do Park, M.D.1

Departments of Internal Medicine¹
Departments of Pathology²
Sanggye Paik hospital, Inje University

증례 : 급성 하대정맥과 신정맥 혈전증으로 발견된 막성 사구체신염에서 전신적 혈전용해술로 치료된 1예

강윤정1 , 조성우1 , 김태훈1 , 황미원1 , 이혜영1 , 조성균1 , 김현정2 , 김상현1 , 박원도1

인제대학교 상계백병원 내과학교실1 , 병리학교실2

Abstract

Thromboembolism is one of the common complications in nephrotic syndrome. The incidence of renal vein thrombosis in the setting of nephrotic syndrome varies from 5% to 62%. Membranous glomerulonephritis (MGN) has been rarely manifested as inferior vena cava (IVC) and/or renal vein thrombosis. We report a case of acute IVC and left renal vein thrombosis as initial manifestation of MGN. The renal vein thrombosis was successfully treated with systemic thrombolysis with temporary IVC filter insertion. After 4 months, MGN was diagnosed by renal biopsy.

Key Words: Membranous glomerulonephritis, Vein, Thrombosis, Thrombolysis