近期新冠肺炎患者肾静脉血栓形成；病例报告

IF 0.2 Q4 UROLOGY & NEPHROLOGY

Journal of Renal Injury Prevention Pub Date : 2022-01-02 DOI:10.34172/jrip.2022.31997

Hosna Mirfakhraee, Samaneh Saghafian Larijani, Zhaleh Zandieh, Adnan Tizmaghaze, Faranak Olamaeian, A. Tayebi, Maryam Niksolat

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引用次数: 2

摘要

我们报告一名74岁男性，近期有新冠肺炎肺炎病史，因急性脐周和左下象限疼痛和呼吸窘迫入院。实验室数据显示肾前氮质血症和镜下血尿。进行了带有静脉造影剂的腹盆腔计算机断层扫描（CT），显示右肾静脉血栓形成（RVT）并延伸至下腔静脉（IVC）的迹象，没有任何肾缺血的证据。除了新冠肺炎和糖尿病可能导致的高充血性病变外，患者没有任何血栓形成的危险因素。他不是外科或放射学血栓切除术的合适人选，因此接受了相应的肝素输注。不幸的是，他在入院第二天死于心肺骤停。考虑到他的呼吸窘迫，我们怀疑肺栓塞是最可能的死亡原因。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Renal vein thrombosis in a recent COVID-19 patient; a case report

We report a 74-year-old male with a recent history of COVID-19 pneumonia who was admitted with acute periumbilical and left lower quadrant pain and respiratory distress. Laboratory data showed pre-renal azotemia and microscopic hematuria. An abdominopelvic computerized tomography (CT) scan with intravenous contrast was conducted, showing signs of right renal vein thrombosis (RVT) with extension to inferior vena cava (IVC), without any evidence of renal ischemia. The patient did not have any risk factors for thrombosis except for probable hypercoagulopathy due to COVID-19 and diabetes mellitus. He was not an appropriate candidate for surgical or radiologic thrombectomy, thus received heparin infusion accordingly. Unfortunately, he died after the cardiopulmonary arrest on the second day of admission. Considering his respiratory distress, we suspect pulmonary embolism as the most probable cause of death.

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来源期刊

Journal of Renal Injury Prevention UROLOGY & NEPHROLOGY-

CiteScore

1.60

自引率

0.00%

发文量

期刊介绍： The Journal of Renal Injury Prevention (JRIP) is a quarterly peer-reviewed international journal devoted to the promotion of early diagnosis and prevention of renal diseases. It publishes in March, June, September and December of each year. It has pursued this aim through publishing editorials, original research articles, reviews, mini-reviews, commentaries, letters to the editor, hypothesis, case reports, epidemiology and prevention, news and views and renal biopsy teaching point. In this journal, particular emphasis is given to research, both experimental and clinical, aimed at protection/prevention of renal failure and modalities in the treatment of diabetic nephropathy. A further aim of this journal is to emphasize and strengthen the link between renal pathologists/nephropathologists and nephrologists. In addition, JRIP welcomes basic biomedical as well as pharmaceutical scientific research applied to clinical nephrology. Futuristic conceptual hypothesis that integrate various fields of acute kidney injury and renal tubular cell protection are encouraged to be submitted.