Unilateral Renal Tromboz ve Hiperkoagülabilite: Olgu Sunumu

Authors : Murat ŞAMLI, Çiğdem DOĞULU, Nevzat DEMİRHAN

Pages : 152-155

View : 39 | Download : 20

Publication Date : 2011-09-01

Article Type : Other Papers

Abstract :We report a case of a 40-year-old male presenting with lumbar pain resembling right renal colic, who developed unilateral partial renal artery thrombosis due to hypercoagulability. As non-contrast spiral CT did not reveal any causative pathology, computed tomography with intravenous IV contrast showed partial thrombosis of right renal artery. After admission to the hospital low-molecular-weight heparin treatment was initiated. Following the recovery from polyuria caused by acute tubular necrosis, the patient underwent prothrombotic risk factor analysis which revealed the presence of lupus anticoagulant and PAI-1 4G/5G polymorphism at heterozygous state. The patient, who developed arterial thrombosis due to hypercoagulopathy, was given oral anticoagulation therapy with warfarin for thrombosis prophylaxis
Keywords : hypercoagulability, lupus anticoagulant, PAI 1 4G 5G polymorphism, renal artery thrombosis