Thrombosis in Inferior Vena Cava (IVC) Due to Intra-cystic Hemorrhage into a Hepatic Local Cyst with Autosomal Dominant Polycystic Kidney Disease (ADPKD)

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  • IGUCHI Seitaro
    Department of Internal Medicine, Niigata Prefectural Muikamachi Hospital Division of Clinical Nephrology and Rheumatology, Niigata University Graduate School of Medical and Dental Sciences
  • KASAI Akio
    Department of Internal Medicine, Niigata Prefectural Muikamachi Hospital
  • KISHIMOTO Hidefumi
    Department of Internal Medicine, Niigata Prefectural Central Hospital
  • SUZUKI Kazuo
  • ITO Satoshi
    Division of Clinical Nephrology and Rheumatology, Niigata University Graduate School of Medical and Dental Sciences
  • OGAWA Yusuke
    Department of Internal Medicine, Niigata Prefectural Muikamachi Hospital
  • NISHI Shinichi
    Blood Purification Center, Niigata University School of Medicine
  • GEJYO Fumitake
    Division of Clinical Nephrology and Rheumatology, Niigata University Graduate School of Medical and Dental Sciences
  • OHNO Yasuhiko
    Department of Internal Medicine, Niigata Prefectural Muikamachi Hospital

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A 76-year-old man with autosomal dominant polycystic kidney disease (ADPKD) was admitted complaining of severe edema of bilateral lower extremities. Computed tomography (CT) of his abdomen revealed an enlarged hepatic cyst with intra-cystic hemorrhage, and massive thrombosis in the inferior vena cava (IVC). The extrinsic mechanical stress on the IVC seemed to induce thrombosis within the IVC, and the thrombosis was likely the cause of severe edema in lower extremities. In this report, we present a rare case of IVC thrombosis due to an enlarged cyst in ADPKD successful treated with anticoagulant therapy.

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  • Internal Medicine

    Internal Medicine 43 (3), 209-212, 2004

    一般社団法人 日本内科学会

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