| Renal Vein Thrombosis in Obese Patient |
| Min-Jeong Son, M.D.2, Ha-Jeong Lee, M.D.1, Kook-Hwan Oh, M.D.1, Kwon-Wook Joo, M.D.1 and Sunhngwon Kim, M.D.1 |
Department of Internal Medicine1
Seoul National University Hospital, Nephrology Division2
Department of Internal Medicine, Armed Forces Capital Hospital |
| 증례 : 비만 환자에게서 발견된 신정맥 혈전증 1례 |
| 손민정2, 이하정1, 오국환1, 주권욱1, 김성권1 |
| 서울대학교병원 내과1, 국군수도통합병원 신장내과2 |
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| Abstract |
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Renal vein thrombosis (RVT) is mostly related with other causes. The underlying conditions of RVT were nephrotic syndrome, trauma, cancer, anatomical anomalies, and other hypercoagulable status. Especially hypercoagulable status was rarely caused by obesity. We diagnosed renal vein thrombosis from an obese patient with hypertriglyceridemia.
A male patient visited the Seoul National University Hospital for evaluating the reason of his flank pain. The pain started from two weeks ago, He had regarded flank pain as his obesity status (his weight was 84 kg and Body mass index was 29.41 kg/m2). So he had lost his weight by over-sweating one day before. At initial examination, his blood pressure was 128/75 mmHg, pulse rate was 72/min, respiration rate was 20/min and body temperature was 36.2℃. Blood chemistries revealed total cholesterol 218 mg/dL, Blood urea nitrogen/creatinine 12/1.3 mg/dL Urinalysis showed specific gravity 1.015, pH 5.5, protein 2+, blood 2+, RBC/WBC 1-4/<1 HPF on microscopic examination. Twenty-four hour collection of the urine showed protein 329 mg/day, creatinine clearance 90 mL/min. Renal vein thrombosis was visualized on the renal computed tomography and pulmonary embolism on the lung scan. Then, anticoagulant therapy was started after coagulation related tests. However, no abnormality of coagulation tests was detected. The evidence of malignancy was not detected either. After anticoagulation therapy, the pain was subsided. The only underlying cause for his hypercoagulability was considered obese status. Unfortunately we had not checked the triglyceride, initially. So we could not prioritize the reason of renal vein thrombosis into hypertriyglyceridemia. We considered that his obese status and subsequent hypertriyglyceridemia might be one of the causes of renal vein thrombosis. |
| Key Words:
Obesity, Hypertriglyceridemia, Thrombosis |
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