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Published on: May 6, 2018
Portal vein thrombosis as the first sign of nephrotic syndrome
1Division of Nephrology at Changzheng Hospital, Second Military Medical University, Shanghai, China.
Background:
A 52-year-old man presented to hospital having experienced abdominal pain, abdominal distention and oliguria for 1 week. An abdominal CT scan revealed thrombosis in the superior mesenteric vein and in the right branch and the trunk of the portal vein.
Investigations:
Physical examination, blood and urine analyses, color Doppler ultrasonography and abdominal CT scan.
Diagnosis:
Nephrotic syndrome complicated by portal vein thrombosis.
Management:
Treatment with batroxobin, low-molecular-weight heparin, prostaglandin E, dipyridamole and methylprednisolone.
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