Asteriou Christos, Barbetakis Nikolaos, Efstathiou Andreas, Kleontas Athanassios, Tsilikas Christodoulos
Cardiothoracic Surgery Department, Theagenio Cancer Hospital, Thessaloniki, Greece.
Case Rep Oncol. 2010 Jul 3;3(2):208-211. doi: 10.1159/000314838.
Acute renal arterial thrombosis is a rare but very urgent situation demanding immediate treatment. It is characterized by unspecific symptomatology which often misleads the clinicians. As a result, precious time can be lost until the correct diagnosis is reached. The case of a 53-year-old female who underwent a left upper lobectomy for lung cancer is presented. On the third postoperative day, the patient began to complain of a flank pain located at the lower side of the left hemithorax and the nearby lumbar area. A renal arterial thrombosis was finally diagnosed and subcutaneous low molecular weight heparin was started immediately. The patient was discharged two weeks later and anticoagulation therapy with warfarin was given. Six months later, renal function remains satisfying and the patient is free of any symptoms. This is probably the first case in English literature of renal arterial thrombosis following lobectomy for lung cancer.
急性肾动脉血栓形成是一种罕见但非常紧急的情况，需要立即治疗。其特点是症状不具特异性，常使临床医生产生误诊。因此，在做出正确诊断之前可能会错失宝贵的时间。本文介绍了一名53岁女性的病例，该患者因肺癌接受了左肺上叶切除术。术后第三天，患者开始抱怨左半胸下部及附近腰部区域出现胁腹疼痛。最终诊断为肾动脉血栓形成，并立即开始皮下注射低分子量肝素。患者两周后出院，并接受了华法林抗凝治疗。六个月后，肾功能仍令人满意，患者没有任何症状。这可能是英文文献中首例肺癌肺叶切除术后发生肾动脉血栓形成的病例。
