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Scientific paper - Case study
Tromboza donje šuplje vene uzrokovana policističnom bolesti bubrega
Medicina Fluminensis : Medicina Fluminensis, 53 (2017), 3; 388-391. https://doi.org/10.21860/medflum2017_182968
Rubinić, Nino; Španjol, Josip; Živčić-Ćosić, Stela; Kovačević, Miljenko; Markić, Dean

Institutional repository: Repository of the University of Rijeka, Faculty of Medicine

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Rubinić, N., Španjol, J., Živčić Ćosić, S., Kovačević, M. & Markić, D. (2017). Tromboza donje šuplje vene uzrokovana policističnom bolesti bubrega. Medicina Fluminensis : Medicina Fluminensis, 53. (3), 388-391. doi: 10.21860/medflum2017_182968

Rubinić, Nino, et al. "Tromboza donje šuplje vene uzrokovana policističnom bolesti bubrega." Medicina Fluminensis : Medicina Fluminensis, vol. 53, no. 3, 2017, pp. 388-391. https://doi.org/10.21860/medflum2017_182968

Rubinić, Nino, Josip Španjol, Stela Živčić Ćosić, Miljenko Kovačević and Dean Markić. "Tromboza donje šuplje vene uzrokovana policističnom bolesti bubrega." Medicina Fluminensis : Medicina Fluminensis 53, no. 3 (2017): 388-391. https://doi.org/10.21860/medflum2017_182968

Rubinić, N., et al. (2017) 'Tromboza donje šuplje vene uzrokovana policističnom bolesti bubrega', Medicina Fluminensis : Medicina Fluminensis, 53(3), pp. 388-391. doi: 10.21860/medflum2017_182968

Rubinić N, Španjol J, Živčić Ćosić S, Kovačević M, Markić D. Tromboza donje šuplje vene uzrokovana policističnom bolesti bubrega. Medicina Fluminensis : Medicina Fluminensis [Internet]. 2017 September 01 [cited 2024 December 25];53(3):388-391. doi: 10.21860/medflum2017_182968

N. Rubinić, J. Španjol, S. Živčić Ćosić, M. Kovačević and D. Markić, "Tromboza donje šuplje vene uzrokovana policističnom bolesti bubrega", Medicina Fluminensis : Medicina Fluminensis, vol. 53, no. 3, pp. 388-391, September 2017. [Online]. Available at: https://urn.nsk.hr/urn:nbn:hr:184:261768. [Accessed: 25 December 2024]

Metadata
Title (croatian)Tromboza donje šuplje vene uzrokovana policističnom bolesti bubrega
Title (english)Inferior vena cava thrombosis due to polycystic kidney disease
AuthorNino Rubinić
AuthorJosip Španjol
AuthorStela Živčić-Ćosić
AuthorMiljenko Kovačević
AuthorDean Markić
Author's institutionUniversity of Rijeka
Faculty of Medicine
(Department of Surgery)
Author's institutionUniversity of Rijeka
Faculty of Medicine
(Department of Urology)
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Urology
Abstract (croatian)
Cilj: Adultna policistična bolest bubrega je najčešća nasljedna bolest bubrega.Tijekom godina dolazi do povećanja cisti, smanjenja funkcionalne nefronske mase i kompresije uvećanih bubrega na okolne strukture. U ovom radu prikazujemo pacijenticu s policističnom bolesti bubrega, kod koje se nakon presađivanja bubrega razvila tromboza donje šuplje vene. Prikaz pacijenta: Tri mjeseca nakon transplantacije kadaveričnoga bubrega u lijevu ilijačnu jamu 67-godišnja pacijentica hospitalizirana je zbog otoka desne noge. Kliničkim i ultrazvučnim pregledom ustanovljena je duboka venska tromboza desne noge i uvedena je terapija heparinom. S obzirom na to da nije dolazilo do poboljšanja, učinjen je pregled kompjutoriziranom tomografijom kojim je potvrđena duboka venska tromboza desne noge, ilijačnih vena desno i parcijalna tromboza distalnog dijela donje šuplje vene. Nalazi radiološke obrade ukazali su na pritisak desnog policističnog bubrega na donju šuplju venu te smo, zbog sprječavanja kompletnog venskog zastoja na razini donje šuplje vene, učinili nefrektomiju policističnog bubrega. Poslijeoperacijski tijek bio je uredan, otok noge se smanjio i funkcija bubrežnog presatka je ostala stabilna. Rasprava i zaključak: U pacijenata s velikim policističnim bubrezima kompresija donje šuplje vene može dovesti i do njezine tromboze. Indicirana je pravovremena nefrektomija.
Abstract (english)
Aim: Autosomal dominant polycystic kidney disease is the most common renal hereditary disease. During many years renal cysts become larger, the functional nephron mass decreases and enlarged kidneys compress the surrounding structures. We present the case of a patient with polycystic kidney disease and inferior vena cava thrombosis after kidney transplantation. Case report: Three months after kidney transplantation into the left iliac fossa, the 67 year-old woman was admitted to our hospital due to swelling oft the right leg. Clinical and ultrasound examination revealed deep vein thrombosis of right leg and therapy with heparine was introduced. Since there was no improvement, a computerized tomography examination was performed that confirmed deep vein thrombosis of the right leg, thrombosis of iliac veins on the right side and partial thrombosis of the distal part of the inferior vena cava. As radiologic imaging revealed compression of the right polycystic kidney onto the inferior vena cava, we performed nephrectomy of the polycystic kidney to prevent complete thrombosis. The postoperative course was uneventful, with a regression of the right leg edema and stable graft function. Discussion and conclusion: In patients with large polycystic kidneys, compression of the inferior vena cava may lead to its thrombosis. A nephrectomy should be performed in time.
Keywords (croatian)
Keywords (english)
Languagecroatian
Publication typeScientific paper - Case study
Publication statusPublished
Peer reviewPeer review
Publication versionPublished version
Journal titleMedicina Fluminensis : Medicina Fluminensis
Numberingvol. 53, no. 3, pp. 388-391
p-ISSN0025-7729
DOIhttps://doi.org/10.21860/medflum2017_182968
URN:NBNurn:nbn:hr:184:261768
Publication2017-09-01
Document URLhttp://hrcak.srce.hr/184851
Type of resourceText
Access conditionsOpen access
Terms of useLicence In copyright icon
Created on2017-09-05 10:59:11