June 1, 2008

Portal vein thrombosis as the first sign of nephrotic syndrome.

Sun L, Xu C.   Nat Clin Pract Nephrol.   2008 Jun;4(6):342-5

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Abstract:

BACKGROUND: A 52-year-old man presented to hospital having experienced abdominal pain, abdominal distention and oliguria for 1 week. An abdominal CT scan revealed thrombosis in the superior mesenteric vein and in the right branch and the trunk of the portal vein. INVESTIGATIONS: Physical examination, blood and urine analyses, color Doppler ultrasonography and abdominal CT scan. DIAGNOSIS: Nephrotic syndrome complicated by portal vein thrombosis. MANAGEMENT: Treatment with batroxobin, low-molecular-weight heparin, prostaglandin E, dipyridamole and methylprednisolone.

General Nephrology