Thrombosis in Inferior Vena Cava (IVC) Due to Intra-cystic Hemorrhage into a Hepatic Local Cyst with Autosomal Dominant Polycystic Kidney Disease (ADPKD)

Seitaro IGUCHI; Akio KASAI; Hidefumi KISHIMOTO; Kazuo SUZUKI; Satoshi ITO; Yusuke OGAWA; Shinichi NISHI; Fumitake GEJYO; Yasuhiko OHNO

doi:10.2169/internalmedicine.43.209

Cardiovascular Diseases

Thrombosis in Inferior Vena Cava (IVC) Due to Intra-cystic Hemorrhage into a Hepatic Local Cyst with Autosomal Dominant Polycystic Kidney Disease (ADPKD)

Seitaro IGUCHI, Akio KASAI, Hidefumi KISHIMOTO, Kazuo SUZUKI, Satoshi ITO, Yusuke OGAWA, Shinichi NISHI, Fumitake GEJYO, Yasuhiko OHNO

Author information

Seitaro IGUCHI
Department of Internal Medicine, Niigata Prefectural Muikamachi Hospital
Division of Clinical Nephrology and Rheumatology, Niigata University Graduate School of Medical and Dental Sciences
Akio KASAI
Department of Internal Medicine, Niigata Prefectural Muikamachi Hospital
Hidefumi KISHIMOTO
Department of Internal Medicine, Niigata Prefectural Central Hospital
Kazuo SUZUKI
Satoshi ITO
Division of Clinical Nephrology and Rheumatology, Niigata University Graduate School of Medical and Dental Sciences
Yusuke OGAWA
Department of Internal Medicine, Niigata Prefectural Muikamachi Hospital
Shinichi NISHI
Blood Purification Center, Niigata University School of Medicine
Fumitake GEJYO
Division of Clinical Nephrology and Rheumatology, Niigata University Graduate School of Medical and Dental Sciences
Yasuhiko OHNO
Department of Internal Medicine, Niigata Prefectural Muikamachi Hospital

Keywords: autosomal dominant polycystic kidney disease (ADPKD), thrombosis, localized hepatic cysts, extrinsic mechanical compression, intra-cystic hemorrhage

JOURNAL OPEN ACCESS

2004 Volume 43 Issue 3 Pages 209-212

DOI https://doi.org/10.2169/internalmedicine.43.209

Details

Abstract

A 76-year-old man with autosomal dominant polycystic kidney disease (ADPKD) was admitted complaining of severe edema of bilateral lower extremities. Computed tomography (CT) of his abdomen revealed an enlarged hepatic cyst with intra-cystic hemorrhage, and massive thrombosis in the inferior vena cava (IVC). The extrinsic mechanical stress on the IVC seemed to induce thrombosis within the IVC, and the thrombosis was likely the cause of severe edema in lower extremities. In this report, we present a rare case of IVC thrombosis due to an enlarged cyst in ADPKD successful treated with anticoagulant therapy.

Corresponding author

Register with J-STAGE for free!