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肾静脉和下腔静脉血栓形成是肾盂肾炎的一种罕见并发症。

Renal vein and inferior vena cava thrombosis as a rare complication of pyelonephritis.

作者信息

Wirth Jan, Houdek Karel, Moláček Jiří, Bednář Lukáš

机构信息

Department of Surgery, Faculty of Medicine in Pilsen, Charles University, Pilsen, Czech Republic.

Department of Vascular Surgery, University Hospital in Pilsen, Pilsen, Czech Republic.

出版信息

J Vasc Surg Cases Innov Tech. 2025 Jun 9;11(5):101875. doi: 10.1016/j.jvscit.2025.101875. eCollection 2025 Oct.

DOI:10.1016/j.jvscit.2025.101875
PMID:40686576
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12270784/
Abstract

Renal vein thrombosis (RVT) and inferior vena cava thrombosis are extremely rare conditions, yet potentially life-threatening complications of pyelonephritis. This report describes the case of a 66-year-old patient with undiagnosed pyelonephritis, who subsequently developed RVT with an extension to the inferior vena cava. The management of the condition involved a multidisciplinary approach that resulted in nephrectomy with an extraction of the thrombus through cavotomy. This case report emphasizes the necessity of early recognition of RVT owing to pyelonephritis and complex management of this condition to prevent the adverse outcomes of impending complications.

摘要

肾静脉血栓形成（RVT）和下腔静脉血栓形成是极为罕见的病症，但却是肾盂肾炎潜在的危及生命的并发症。本报告描述了一名66岁未确诊肾盂肾炎患者的病例，该患者随后发展为肾静脉血栓形成并蔓延至下腔静脉。该病症的治疗采用了多学科方法，最终进行了肾切除术，并通过腔静脉切开术取出血栓。本病例报告强调了早期识别由肾盂肾炎引起的肾静脉血栓形成以及对该病症进行综合管理以预防即将发生的并发症不良后果的必要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/341f/12270784/e647ab5b628d/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/341f/12270784/95921169e783/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/341f/12270784/e647ab5b628d/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/341f/12270784/95921169e783/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/341f/12270784/e647ab5b628d/gr2.jpg

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本文引用的文献

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Clin Pract. 2024 Jun 9;14(3):1110-1122. doi: 10.3390/clinpract14030088.
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Segmental renal vein thrombosis: An unusual complication of acute pyelonephritis.
Urol Case Rep. 2023 May 22;49:102444. doi: 10.1016/j.eucr.2023.102444. eCollection 2023 Jul.
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Comparative outcomes of anticoagulation alone versus anticoagulation plus endovascular intervention in adults with isolated renal vein thrombosis.成人孤立性肾静脉血栓形成患者抗凝治疗与抗凝联合血管内介入治疗的比较结局。
J Vasc Surg Venous Lymphat Disord. 2023 Jul;11(4):816-823. doi: 10.1016/j.jvsv.2023.03.019. Epub 2023 Apr 14.
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Suprarenal Inferior Vena Cava Filter Placement and Retrieval: Safety Analysis.肾上腺下腔静脉滤器放置和取出：安全性分析。
J Vasc Interv Radiol. 2020 Feb;31(2):231-235. doi: 10.1016/j.jvir.2019.08.012. Epub 2019 Dec 26.
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A rare case of renal vein thrombosis secondary to pyelonephritis.一例罕见的肾盂肾炎继发肾静脉血栓形成病例。
Urol Ann. 2018 Jan-Mar;10(1):103-105. doi: 10.4103/UA.UA_123_17.
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Treatment options and outcomes for caval thrombectomy and resection for renal cell carcinoma.腔静脉血栓切除术和肾细胞癌切除术的治疗选择和结果。
J Vasc Surg Venous Lymphat Disord. 2017 May;5(3):430-436. doi: 10.1016/j.jvsv.2016.12.011.
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Radiologic Assessment of Native Renal Vasculature: A Multimodality Review.天然肾血管系统的放射学评估：多模态综述
Radiographics. 2017 Jan-Feb;37(1):136-156. doi: 10.1148/rg.2017160060.
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Acute pyelonephritis and renal vein thrombosis: A case report and review of the literature.急性肾盂肾炎与肾静脉血栓形成：一例病例报告及文献综述
J Infect Chemother. 2016 Nov;22(11):759-761. doi: 10.1016/j.jiac.2016.04.009. Epub 2016 May 24.
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Transcatheter pharmacomechanical approach for acute renal vein thrombosis: a rational technique.经导管药物机械治疗急性肾静脉血栓形成：一种合理的技术。
Cardiovasc Interv Ther. 2014 Jul;29(3):275-8. doi: 10.1007/s12928-013-0227-3. Epub 2013 Nov 19.
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Eur J Vasc Endovasc Surg. 2007 Aug;34(2):217-23. doi: 10.1016/j.ejvs.2007.02.017. Epub 2007 Jun 1.