title: Thrombosis in inferior vena cava (IVC) due to intra-cystic hemorrhage into a hepatic local cyst with autosomal dominant polycystic kidney disease (ADPKD).
abstract: A 76-year-old man with autosomal dominant polycystic kidney disease (ADPKD) was admitted complaining of severe edema of bilateral lower extremities. Computed tomography (CT) of his abdomen revealed an enlarged hepatic cyst with intra-cystic hemorrhage, and massive thrombosis in the inferior vena cava (IVC). The extrinsic mechanical stress on the IVC seemed to induce thrombosis within the IVC, and the thrombosis was likely the cause of severe edema in lower extremities. In this report, we present a rare case of IVC thrombosis due to an enlarged cyst in ADPKD successful treated with anticoagulant therapy.
authors.affiliation: Department of Internal Medicine, Niigata Prefectural Muikamachi Hospital, Muikamachi.
authors.forename: Seitaro
authors.initials: S
authors.lastname: Iguchi
authors.forename: Akio
authors.initials: A
authors.lastname: Kasai
authors.forename: Hidefumi
authors.initials: H
authors.lastname: Kishimoto
authors.forename: Kazuo
authors.initials: K
authors.lastname: Suzuki
authors.forename: Satoshi
authors.initials: S
authors.lastname: Ito
authors.forename: Yusuke
authors.initials: Y
authors.lastname: Ogawa
authors.forename: Shinichi
authors.initials: S
authors.lastname: Nishi
authors.forename: Fumitake
authors.initials: F
authors.lastname: Gejyo
authors.forename: Yasuhiko
authors.initials: Y
authors.lastname: Ohno
mesh_terms: D000368:Aged; D003560:Cysts / Q000150:complications*; D006470:Hemorrhage / Q000150:complications*; D006801:Humans; D008107:Liver Diseases / Q000150:complications*; D008297:Male; D016891:Polycystic Kidney, Autosomal Dominant / Q000150:complications*; D013314:Stress, Mechanical; D014057:Tomography, X-Ray Computed; D014682:Vena Cava, Inferior; D020246:Venous Thrombosis / Q000150:complications / Q000188:drug therapy / Q000209:etiology*