A Deep Vein Thrombosis and Pulmonary Thromboembolism Caused by Vessel Compression in Autosomal Dominant Polycystic Kidney Diesease

초록

Autosomal dominant polycystic kidney disease is an inherited disorder with major renal manifestations and abnormalities in the liver, the pancreas, the brain, and the arterial blood vessels. The complications of the disease include hypertension, infection, renal insuffi ciency, and so on. However, there were rare evidences suggesting a venous thromboembolism as a considerable complications. In this case, 42-year old female who had been diagnosed polycystic kidney disease in 1995 and had a history of taking oral pills, was feeling a sudden attack of dyspnea after 4-hour fl ight from Russia, motherland. As venous thromboembolism was suspected, lung ventilation/ perfusion scan and echocardiogram were conducted primarily, and 3-Dimensional CT angiography was conducted afterward, considering an insult to renal function. Her diagnostic tests resulted in bilateral pulmonary embolism and deep vein thrombosis in left internal iliac vein. She had no obvious risk factor provoking thromboembolism, we focused on the causes of making emboli on her condition. There were many possibilities, such as compression of IVC or iliac vessel by a large renal cyst. Oral pill or a fl ight might play an additional role. Although she had to be treated in hospital due to showing right ventricular dysfuction, she went back to her country, Russia from her economic problem. We suggest that the venous thromboembolism including deep vein thrombosis and pulmonary embolism should be considered as one of the complications of polycystic kidney disease when the patients have such symptoms.