Thrombocytopenia associated with portal vein thrombosis as a presenting sign of adult nephrotic syndrome: a case report

KÖŞECİ, Tolga; ÖZGÜR, Anıl; TURGUTALP, Kenan; TOMBAK, ANIL; KIYKIM, Ahmet; KARABULUT, Ümit

Thrombocytopenia associated with portal vein thrombosis as a presenting sign of adult nephrotic syndrome: a case report

Kenan TURGUTALP, (Mersin Üniversitesi, Tıp Fakültesi, İç Hastalıkları Anabilim Dalı, Nefroloji Bilim Dalı, Mersin, Türkiye)

Ümit KARABULUT, (Mersin Üniversitesi, Tıp Fakültesi, İç Hastalıkları Anabilim Dalı, Nefroloji Bilim Dalı, Mersin, Türkiye)

Tolga KÖŞECİ, (Mersin Üniversitesi, Tıp Fakültesi, İç Hastalıkları Anabilim Dalı, Nefroloji Bilim Dalı, Mersin, Türkiye)

Ahmet KIYKIM, (Mersin Üniversitesi, Tıp Fakültesi, İç Hastalıkları Anabilim Dalı, Nefroloji Bilim Dalı, Mersin, Türkiye)

Anıl TOMBAK, (Mersin Üniversitesi, Tıp Fakültesi, İç Hastalıkları Anabilim Dalı, Hematoloji Bilim Dalı, Mersin, Türkiye)

Anıl ÖZGÜR (Mersin Üniversitesi, Tıp Fakültesi, Radyoloji Anabilim Dalı, Mersin, Türkiye)

Türk Nefroloji Diyaliz ve Transplantasyon Dergisi

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Yıl: 2014 Cilt: 23 Sayı: 1 Sayfa Aralığı: 70 - 72 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Thrombocytopenia associated with portal vein thrombosis as a presenting sign of adult nephrotic syndrome: a case report

Öz:

Nefrotik sendrom venöz tromboembolizm gelişimi açısından bir risk faktörüdür. Daha çok genç hastalarda görülmesi ilgi çekicidir. Portal ven trombozunun nefrotik sendrom başlangıç bulgusu olarak ortaya çıkması oldukça nadirdir. 49 yaşında erkek hasta kliniğimize 1 haftadır karında şişkinlik hissi, yaygın ödem ve idrar çıkımında azalma nedeniyle kabul edildi. Hastaneye yatışı esnasında serum creatinin 2,1 mg/dl, proteinuria 3,2 g/dl, serum albümin 1,8 g/dl, ve trombosit sayısı 13.000/ml idi. Mikroscopik hematuri ve nefrotik düzeyde proteinüri mevcuttu. Doppler ultrasound ve dinamik magnetik resonans görüntülemesinde portal ven thrombozu, yaygın assit ve orta derecede splenomegali tespit edildi. Bu olguda biz, hızlı ilerleyen progresif glomerülonefritin başlangıç bulgusu olarak portal ven trombozunu yayınlamayı amaçladık.

Anahtar Kelime:

Konular: Cerrahi

Yetişkin nefrotik sendromun ilk bulgusu olarak portal ven trombozu ile ilişkili trombositopeni: olgu sunumu

Öz:

The nephrotic syndrome is a risk factor for venous thromboembolism. This is strikingly apparent in young adults. Portal vein thrombosis as an initial sign of nephrotic syndrome is extremely rare. A 49-year-old male was admitted to our center with complaints of severe abdominal distension, generalized edema, and oliguria for one week. On admission, serum creatinine was 2.1 mg/dl, proteinuria was 3.2 g/ dl, serum albumin was 1.8 g/dl, and platelet count was 13.000/ml. Microscopic hematuria, acute kidney injury, and nephrotic range proteinuria were present. Portal vein thrombosis, massive ascites, and mild splenomegaly were detected by Doppler ultrasound and dynamic magnetic resonance imaging. We present here a case with rapidly progressive glomerulonephritis who developed acute portal vein thrombosis.

Anahtar Kelime:

Konular: Cerrahi

Belge Türü: Makale Makale Türü: Olgu Sunumu Erişim Türü: Erişime Açık

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APA	TURGUTALP K, KARABULUT Ü, KÖŞECİ T, KIYKIM A, TOMBAK A, ÖZGÜR A (2014). Thrombocytopenia associated with portal vein thrombosis as a presenting sign of adult nephrotic syndrome: a case report. , 70 - 72.
Chicago	TURGUTALP Kenan,KARABULUT Ümit,KÖŞECİ Tolga,KIYKIM Ahmet,TOMBAK ANIL,ÖZGÜR Anıl Thrombocytopenia associated with portal vein thrombosis as a presenting sign of adult nephrotic syndrome: a case report. (2014): 70 - 72.
MLA	TURGUTALP Kenan,KARABULUT Ümit,KÖŞECİ Tolga,KIYKIM Ahmet,TOMBAK ANIL,ÖZGÜR Anıl Thrombocytopenia associated with portal vein thrombosis as a presenting sign of adult nephrotic syndrome: a case report. , 2014, ss.70 - 72.
AMA	TURGUTALP K,KARABULUT Ü,KÖŞECİ T,KIYKIM A,TOMBAK A,ÖZGÜR A Thrombocytopenia associated with portal vein thrombosis as a presenting sign of adult nephrotic syndrome: a case report. . 2014; 70 - 72.
Vancouver	TURGUTALP K,KARABULUT Ü,KÖŞECİ T,KIYKIM A,TOMBAK A,ÖZGÜR A Thrombocytopenia associated with portal vein thrombosis as a presenting sign of adult nephrotic syndrome: a case report. . 2014; 70 - 72.
IEEE	TURGUTALP K,KARABULUT Ü,KÖŞECİ T,KIYKIM A,TOMBAK A,ÖZGÜR A "Thrombocytopenia associated with portal vein thrombosis as a presenting sign of adult nephrotic syndrome: a case report." , ss.70 - 72, 2014.
ISNAD	TURGUTALP, Kenan vd. "Thrombocytopenia associated with portal vein thrombosis as a presenting sign of adult nephrotic syndrome: a case report". (2014), 70-72.

APA	TURGUTALP K, KARABULUT Ü, KÖŞECİ T, KIYKIM A, TOMBAK A, ÖZGÜR A (2014). Thrombocytopenia associated with portal vein thrombosis as a presenting sign of adult nephrotic syndrome: a case report. Türk Nefroloji Diyaliz ve Transplantasyon Dergisi, 23(1), 70 - 72.
Chicago	TURGUTALP Kenan,KARABULUT Ümit,KÖŞECİ Tolga,KIYKIM Ahmet,TOMBAK ANIL,ÖZGÜR Anıl Thrombocytopenia associated with portal vein thrombosis as a presenting sign of adult nephrotic syndrome: a case report. Türk Nefroloji Diyaliz ve Transplantasyon Dergisi 23, no.1 (2014): 70 - 72.
MLA	TURGUTALP Kenan,KARABULUT Ümit,KÖŞECİ Tolga,KIYKIM Ahmet,TOMBAK ANIL,ÖZGÜR Anıl Thrombocytopenia associated with portal vein thrombosis as a presenting sign of adult nephrotic syndrome: a case report. Türk Nefroloji Diyaliz ve Transplantasyon Dergisi, vol.23, no.1, 2014, ss.70 - 72.
AMA	TURGUTALP K,KARABULUT Ü,KÖŞECİ T,KIYKIM A,TOMBAK A,ÖZGÜR A Thrombocytopenia associated with portal vein thrombosis as a presenting sign of adult nephrotic syndrome: a case report. Türk Nefroloji Diyaliz ve Transplantasyon Dergisi. 2014; 23(1): 70 - 72.
Vancouver	TURGUTALP K,KARABULUT Ü,KÖŞECİ T,KIYKIM A,TOMBAK A,ÖZGÜR A Thrombocytopenia associated with portal vein thrombosis as a presenting sign of adult nephrotic syndrome: a case report. Türk Nefroloji Diyaliz ve Transplantasyon Dergisi. 2014; 23(1): 70 - 72.
IEEE	TURGUTALP K,KARABULUT Ü,KÖŞECİ T,KIYKIM A,TOMBAK A,ÖZGÜR A "Thrombocytopenia associated with portal vein thrombosis as a presenting sign of adult nephrotic syndrome: a case report." Türk Nefroloji Diyaliz ve Transplantasyon Dergisi, 23, ss.70 - 72, 2014.
ISNAD	TURGUTALP, Kenan vd. "Thrombocytopenia associated with portal vein thrombosis as a presenting sign of adult nephrotic syndrome: a case report". Türk Nefroloji Diyaliz ve Transplantasyon Dergisi 23/1 (2014), 70-72.