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End stage renal disease caused by thromboangiitis obliterans: a case report.

Yun HJ, Kim DI, Lee KH, Lim SJ, Hwang WM, Yun SR, Yoon SH - J Med Case Rep (2015)

Bottom Line: He also had abdominal angina.Renal failure and mesenteric ischemia associated with thromboangiitis obliterans progression was diagnosed.But once it occurs, it can be life-threatening.

View Article: PubMed Central - PubMed

Affiliation: Division of Nephrology, Department of Internal Medicine, Konyang University College of Medicine, 158 Gwanjeo-dong-ro, Seo-gu, Daejeon, 302-718, South Korea. yhj0927@kyuh.ac.kr.

ABSTRACT

Introduction: Thromboangiitis obliterans or Buerger's disease is a nonatherosclerotic, segmental, inflammatory vasculitis that is strongly associated with tobacco products and commonly affects the small- and medium-sized arteries of the upper and lower extremities. However, the disease can, rarely, involve large central or visceral arteries. We report here the case of end stage renal disease due to renal artery thrombosis caused by thromboangiitis obliterans.

Case presentation: A 51-year-old Korean man who had previously required amputation of both great toes due to thromboangiitis obliterans presented with left flank pain and oliguria. Both his renal arteries were occluded on contrast-enhanced abdominal computed tomography and abdominal angiography. He also had abdominal angina. He had no risk factor of thromboembolism from cardiac origin, atherosclerosis except for tobacco abuse, collagen diseases or hypercoagulable disorders. Renal failure and mesenteric ischemia associated with thromboangiitis obliterans progression was diagnosed.

Conclusions: Renal failure due to renal artery thrombosis and mesenteric ischemia represents an unusual manifestation of thromboangiitis obliterans. But once it occurs, it can be life-threatening. When we care for a patient with thromboangiitis obliterans, we should pay attention to this rare disease course, and encourage cessation of the smoking of tobacco products.

No MeSH data available.


Related in: MedlinePlus

Contrast-enhanced abdominal computed tomography. a Coronal and (b, c) transverse scans showed left kidney enlargement with a multifocal infarcted area (arrows). Neither renal artery was traced from the proximal part on computed tomography
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Fig2: Contrast-enhanced abdominal computed tomography. a Coronal and (b, c) transverse scans showed left kidney enlargement with a multifocal infarcted area (arrows). Neither renal artery was traced from the proximal part on computed tomography

Mentions: Contrast-enhanced abdominal computed tomography (CT) demonstrated left kidney enlargement (9.3cm) with a multifocal infarcted area and a shrunken right kidney (7.6cm). Neither renal artery was visualized (Fig. 2).Fig. 2


End stage renal disease caused by thromboangiitis obliterans: a case report.

Yun HJ, Kim DI, Lee KH, Lim SJ, Hwang WM, Yun SR, Yoon SH - J Med Case Rep (2015)

Contrast-enhanced abdominal computed tomography. a Coronal and (b, c) transverse scans showed left kidney enlargement with a multifocal infarcted area (arrows). Neither renal artery was traced from the proximal part on computed tomography
© Copyright Policy - OpenAccess
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4541743&req=5

Fig2: Contrast-enhanced abdominal computed tomography. a Coronal and (b, c) transverse scans showed left kidney enlargement with a multifocal infarcted area (arrows). Neither renal artery was traced from the proximal part on computed tomography
Mentions: Contrast-enhanced abdominal computed tomography (CT) demonstrated left kidney enlargement (9.3cm) with a multifocal infarcted area and a shrunken right kidney (7.6cm). Neither renal artery was visualized (Fig. 2).Fig. 2

Bottom Line: He also had abdominal angina.Renal failure and mesenteric ischemia associated with thromboangiitis obliterans progression was diagnosed.But once it occurs, it can be life-threatening.

View Article: PubMed Central - PubMed

Affiliation: Division of Nephrology, Department of Internal Medicine, Konyang University College of Medicine, 158 Gwanjeo-dong-ro, Seo-gu, Daejeon, 302-718, South Korea. yhj0927@kyuh.ac.kr.

ABSTRACT

Introduction: Thromboangiitis obliterans or Buerger's disease is a nonatherosclerotic, segmental, inflammatory vasculitis that is strongly associated with tobacco products and commonly affects the small- and medium-sized arteries of the upper and lower extremities. However, the disease can, rarely, involve large central or visceral arteries. We report here the case of end stage renal disease due to renal artery thrombosis caused by thromboangiitis obliterans.

Case presentation: A 51-year-old Korean man who had previously required amputation of both great toes due to thromboangiitis obliterans presented with left flank pain and oliguria. Both his renal arteries were occluded on contrast-enhanced abdominal computed tomography and abdominal angiography. He also had abdominal angina. He had no risk factor of thromboembolism from cardiac origin, atherosclerosis except for tobacco abuse, collagen diseases or hypercoagulable disorders. Renal failure and mesenteric ischemia associated with thromboangiitis obliterans progression was diagnosed.

Conclusions: Renal failure due to renal artery thrombosis and mesenteric ischemia represents an unusual manifestation of thromboangiitis obliterans. But once it occurs, it can be life-threatening. When we care for a patient with thromboangiitis obliterans, we should pay attention to this rare disease course, and encourage cessation of the smoking of tobacco products.

No MeSH data available.


Related in: MedlinePlus