Open AccessA case of abdominal aortic thrombosis associated with the nephrotic syndrome
Author(s) -
J. Labidi,
Yosra Selmi,
Y. Ben Ariba,
Z. Elloumi,
S. Othmani
Publication year - 2017
Publication title -
saudi journal of kidney diseases and transplantation/našrat amraḍ wa zira'aẗ al-kulaẗ
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.268
H-Index - 30
eISSN - 2320-3838
pISSN - 1319-2442
DOI - 10.4103/1319-2442.198246
Subject(s) - medicine , thrombosis , nephrotic syndrome , thrombus , abdominal aorta , surgery , abdominal pain , venous thrombosis , minimal change disease , arterial embolism , renal artery , aorta , cardiology , embolism , focal segmental glomerulosclerosis , glomerulonephritis , kidney
Thromboembolic disease is an important and frequent complication in patients with the nephrotic syndrome (NS), and the consequences are often severe. Usually, the venous system is affected. Arterial thrombosis has rarely been reported and occurs mainly in children. We report the case of a 27-year-old man with a history of NS due to focal and segmental glomerulosclerosis resistant to steroids and cyclosporine, admitted for bilateral pain in the calves. Aortogram revealed a suspended thrombus in the abdominal aorta just below the origin of the renal arteries with embolism into the left tibioperoneal trunk and the right anterior tibial artery. Endarterectomy was performed followed by systemic heparinization with a good outcome. Arterial thrombosis is rare and must be prevented.