A Case of Renal Vein Thrombosis Associated with Nephrotic Syndrome

방사선학적으로 확진된 신증후군과 동반된 신정맥 혈전증 1예

Renal vein thrombosis is usually a complication of multiple underlying renal disease rather than primary process. High incidence of renal vein thrombosis in patients with nephrotic syndrome, which suggest the nephrotic syndrome play a paramount role in the genesis of renal vein thrombosis or thromboembolic phenomena. But these are likely to relationship of "egg and chicken", and then we cannot determine what is primary of these. Recently authors experienced a case that was questioned renal vein thrombosis with nephrotic-syndrome clinically, laboratory and preliminary radiologically, and this case is confirmed by selective left renal venography. Here we report a case of renal vein thrombosis with nephrotic syndrome which successfully managed with oral anticoagulants and reviewed literatures.

저자들은 신증후군의 증상으로 본 영남대학교 의과대학 부속병원에 내원한 환자에서 임상증상과 임상검사 소견 및 초음파, 신주사, 신동맥조영술 등의 소견으로 신정맥 혈전증을 의심하였고 신정맥조영술을 시행하여 신증후군과 동반된 신정맥 혈전증임이 확진된 1례를 경험하였기에 문헌고찰과 함께 보고하는 바이다.