Kündiger T, Wirths K, Wegjan E, Zöpf T
Medizinische Klinik mit Schwerpunkt Gastroenterologie, Sana Kliniken Düsseldorf GmbH, Gräulinger Straße 120, 40625 Düsseldorf.
Internist (Berl). 2011 Aug;52(8):1006-10. doi: 10.1007/s00108-010-2750-y.
We report on a 48-year-old patient with Crohn's disease and left abdominal pain, who presented with hematuria and proteinuria. As reason we found a left renal vein thrombosis. This diagnosis was based on magnetic resonance imaging and doppler ultrasound. The incidence of thrombembolic complications in patients with chronic inflammatory bowel disease is increased, however renal vein thrombosis is a very rare complication of Crohn's disease. We started a conservative treatment with phenprocoumon. Thereafter the patient remained asymptomatic and the thrombus dissipated during follow-up.
我们报告了一名48岁患有克罗恩病且伴有左腹痛的患者，该患者出现了血尿和蛋白尿。经检查，我们发现病因是左肾静脉血栓形成。这一诊断基于磁共振成像和多普勒超声检查。慢性炎症性肠病患者发生血栓栓塞并发症的几率会增加，然而肾静脉血栓形成是克罗恩病非常罕见的一种并发症。我们开始使用苯丙香豆素进行保守治疗。此后，患者一直无症状，且在随访期间血栓消散。
