[Inferior vena cava compression syndrome in cystic kidney. Duplex ultrasonic diagnosis].
Four months after renal transplantation for polycystic renal degeneration a 38-year-old man developed breathing-related pain in the left upper lung and a sinus tachycardia (130/min). Lung perfusion scintigraphy demonstrated pulmonary emboli from an acute venous thrombosis of the left lower leg. Polycythaemia and impairment of clot-inhibiting factors were excluded. Ultrasound examination of the abdomen revealed stenosis of the inferior vena cava (IVC) distal to the hepatic veins, dorsal to the liver and ventral of a huge right polycystic kidney which had been left in situ at the time of the renal transplantation. Duplex sonography demonstrated a band-like flow profile in the region of the stenosis. Blood flow was clearly increased (0.62 m/s) and not affected by either heart rate or breathing movements. The findings were confirmed by angiography. The right kidney, weighing 5 kg, was removed at surgery. The IVC stenosis was postoperatively found to be relieved and duplex sonography gave normal findings.
Abteilung Nephrologie, Zentrum Konservative Medizin I, Universität Kiel.
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G
Leimenstoll
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G
Loose
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T
Harder
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Herrmann
I
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Papadopoulos
H C
HC
Burck
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W
Niedermayer
D000328:Adult; D003251:Constriction, Pathologic; D006801:Humans; D016030:Kidney Transplantation; D008297:Male; D007690:Polycystic Kidney Diseases / Q000150:complications / Q000601:surgery*; D011183:Postoperative Complications; D013577:Syndrome; D013997:Time Factors; D014463:Ultrasonography; D014682:Vena Cava, Inferior / Q000000981:diagnostic imaging
Vena-cava-inferior-Kompressionssyndrome bei Zystennieren. Duplexsonographische Diagnose.