A Case of Thromboembolic Complication in Right Common Iliac Artery in a Child with Minimal Change Nephrotic Syndrome

Nam, Hyun-Joo; Kim, Ji-Hong; Kim, Pyung-Kil; Chang, Byung-Chul

J Korean Soc Pediatr Nephrol > Volume 2(1); 1998 > Article

J Korean Soc Pediatr Nephrol 1998;2(1): 69-72.

미세변화형 신증후군 환아에서 발생한 우측총장골동맥 혈전증 1례

남현주, 김지홍, 김병길, 장병철

¹연세대학교 의과대학 소아과학교실
²연세대학교 의과대학 소아과학교실
³연세대학교 의과대학 소아과학교실
⁴연세대학교 의과대학 흉부외과학교실

A Case of Thromboembolic Complication in Right Common Iliac Artery in a Child with Minimal Change Nephrotic Syndrome

Hyun-Joo Nam, Ji-Hong Kim, Pyung-Kil Kim, Byung-Chul Chang

¹Departments of Pediatrics, College of Medicine, The Institute of Kidney Disease, Yonsei University
²Departments of Pediatrics, College of Medicine, The Institute of Kidney Disease, Yonsei University
³Departments of Pediatrics, College of Medicine, The Institute of Kidney Disease, Yonsei University
⁴Departments of Cardio-vascular Sugery, College of Medicine, The Institute of Kidney Disease, Yonsei University

ABSTRACT

Thromboemolism is one of the severe complications of nephrotic syndrome. And arterial thromboembolism is rare than venous thromboembolism. Hypercoagulability is the main pathophysiologic factors of thromboembolism in nephrotic syndrome with severe hypoalbuminemia. We experienced one case of arterial thromboembolism which occured in right common iliac artery. It was seen in a 6 year-old male child that presented with generalized edema and rigth ankle joint pain. Emergency embolectomy and anticoagulant therapy (heparin and antithrombin III) was performed. He didn't have to be amputated and recovered to self ambulation. This is an uncommon case that successful recovery was possible by early diagnosis and invasive surgical management with proper anticoagulant therapy.

Key words: Minimal change nephrotic syndrome | Thromboembolism | Right common iliac artery