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Portal vein thrombosis as the first sign of nephrotic syndrome

Nature Clinical Practice Nephrology volume 4, pages 342–345 (2008)Cite this article

Abstract

Background A 52-year-old man presented to hospital having experienced abdominal pain, abdominal distention and oliguria for 1 week. An abdominal CT scan revealed thrombosis in the superior mesenteric vein and in the right branch and the trunk of the portal vein.

Investigations Physical examination, blood and urine analyses, color Doppler ultrasonography and abdominal CT scan.

Diagnosis Nephrotic syndrome complicated by portal vein thrombosis.

Management Treatment with batroxobin, low-molecular-weight heparin, prostaglandin E, dipyridamole and methylprednisolone.

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Figure 1: Abdominal CT scans on admission to hospital.

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Author information

Authors and Affiliations

  1. L Sun is an Attending Doctor and C Xu is a Professor in the Division of Nephrology at Changzheng Hospital, Second Military Medical University, Shanghai, China.,

    Lijun Sun & Chenggang Xu

Authors
  1. Lijun Sun
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  2. Chenggang Xu
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Corresponding author

Correspondence to Chenggang Xu.

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The authors declared no competing interests.

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Sun, L., Xu, C. Portal vein thrombosis as the first sign of nephrotic syndrome. Nat Rev Nephrol 4, 342–345 (2008). https://doi.org/10.1038/ncpneph0810

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