Renal Infarction in a Patient with Pulmonary Vein Thrombosis after Left Upper Lobectomy

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 t...

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Bibliographic Details
Published in:Case reports in nephrology and dialysis 2014-05, Vol.4 (2), p.103-108
Main Authors: Manabe, Shun, Oshima, Yasuko, Nakano, Marie, Fujii, Teruhiro, Maehara, Takamitsu, Nitta, Kosaku, Hatano, Michiyasu
Format: Article
Language:English
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Published: May 2014
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Summary: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.
ISSN:1664-5510
2296-9705
2296-9705
1664-5510
DOI:10.1159/000363224