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| 미세변화신증후군에 합병된 다발성 혈전증 1례 |
| 한병근 , 최승옥 , 김효열 , 강남규 , 이광훈 , 서병기 |
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| Abstract |
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Thromboembolism as s complication of nephrotic syndrome can occur at sny site of circulation. Most thromboembolism associated with nephrotic syndrome develop in veins, especially renal veins, and rarely in arteries. Eight cases of arterial thromboembolism being complicated in nephrotic syndrome were reported in Korea. The pathologic findings of kidney were minimal change nephrotic disease in 5 cases and membranous nephropathy in 3 cases. All patients had risk factors that have been mentioned in earlier reports. A suggestive mecha- nism of the thrombosis in the nephrotic syndrome is a hyperc-oagulable state. We experienced a case of minimal change nephrotic syndrome complicated with liver infarction and thromboses of renal vein and superior mesenteric artery. We successfully per- formed massive small bowel resection, right hemicolectomy and jejunojejunostomy and then diag- nosed the liver infarction and thrombosis of the left renal vein through some radiologic studies. |
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