Korean J Med.  2014 Dec;87(6):743-746. 10.3904/kjm.2014.87.6.743.

A Case of Infectious Enteritis complicated by Renal Venous Thrombosis

• Choi JH
• Cheon JW
• Kang KH
• Kim SH
• Kim CH
• Yun KH
• Seo KS

• KMID: 2269373
• DOI: http://doi.org/10.3904/kjm.2014.87.6.743

Abstract

Renal venous thrombosis occurs, for the most part, as secondary to nephrotic syndrome. In relation to infection, cases complicated with acute pyelonephritis and renal abscess have been reported. A 71-year-old woman was admitted due to vomiting, abdominal pain, watery diarrhea, and fever. Abdominal computed tomography (CT) revealed diffuse thickening of the small intestinal wall and left renal venous thrombosis. The enteritis rapidly resolved with conservative treatment including fasting and antibiotic therapy; anticoagulation therapy was started. After 3 months, the renal vein thrombosis had much improved, but a tiny remnant thrombus was seen on follow-up abdominal CT. After 4 months of additional anticoagulation therapy, the remnant thrombus remained unchanged, at which point warfarin was switched to clopidogrel, an antiplatelet agent, and after 8 months the remnant thrombus was no longer visible on abdominal CT.

Keyword

Thrombosis; Renal vein; Enteritis; Infection

MeSH Terms

Abdominal Pain
Abscess
Aged
Diarrhea
Enteritis*
Fasting
Female
Fever
Follow-Up Studies
Humans
Nephrotic Syndrome
Pyelonephritis
Renal Veins
Thrombosis
Tomography, X-Ray Computed
Venous Thrombosis*
Vomiting
Warfarin
Warfarin