A Case of Idiopathic Aortitis with Left Renal Vein Thrombosis

• DOI: 10.15746/sms.14.036
• Publication Date: 2015-02-05T08:05:13Z
• Authors: Hyeon Jeong Yun; Jin Uk Jeong; Jong Ho Shin; Jin Ho Choi; Young Min Na; Jin Cheol Myeong; Ki Tae Bang
• Keywords: Aortitis; Abdominal aorta; Renal vein

A 38-year-old man was admitted to the hospital because of abrupt left flank pain. He had no fever and physical examination revealed tenderness costovertebral angle. Laboratory data white blood cell 16,060/μL, C-reactive protein 0.93 mg/dL. Urinalysis showed more than 1/2 red cells per high-power field with severe proteinuria (4+). Enhanced computed tomography (CT) thickened abdominal aorta wall partial thrombus. The compressed renal vein it caused thrombosis. Abdominal CT findings suggested aortitis complication vein. We could exclude other types including autoimmune aortitis, Takayasu’s arteritis, giant infectious causes based on a serologic test history patient. Therefore, patient diagnosed idiopathic treated glucocorticoid. After treatment, his symptoms disappeared follow-up decreased mural thickening aorta. Isolated presented thrombosis is extremely rare has not been reported in Korea yet. present case report Key words: Aortitis; Renal veins; Thrombosis; Inflammation; Aorta