Acute Kidney Injury Associated with Renal Cell Carcinoma Complicated by Renal Vein and Inferior Vena Cava Involvement

Taro Sugase; Tetsu Akimoto; Taro Kubo; Toshimi Imai; Naoko Otani-Takei; Takuya Miki; Shin-ichi Takeda; Akinori Nukui; Shigeaki Muto; Tatsuo Morita; Daisuke Nagata

doi:10.2169/internalmedicine.55.6724

CASE REPORTS

Acute Kidney Injury Associated with Renal Cell Carcinoma Complicated by Renal Vein and Inferior Vena Cava Involvement

Taro Sugase, Tetsu Akimoto, Taro Kubo, Toshimi Imai, Naoko Otani-Takei, Takuya Miki, Shin-ichi Takeda, Akinori Nukui, Shigeaki Muto, Tatsuo Morita, Daisuke Nagata

著者情報

Taro Sugase
Division of Nephrology, Department of Internal Medicine, Jichi Medical University, Japan
Tetsu Akimoto
Division of Nephrology, Department of Internal Medicine, Jichi Medical University, Japan
Taro Kubo
Department of Urology, Jichi Medical University, Japan
Toshimi Imai
Division of Nephrology, Department of Internal Medicine, Jichi Medical University, Japan
Naoko Otani-Takei
Division of Nephrology, Department of Internal Medicine, Jichi Medical University, Japan
Takuya Miki
Division of Nephrology, Department of Internal Medicine, Jichi Medical University, Japan
Shin-ichi Takeda
Division of Nephrology, Department of Internal Medicine, Jichi Medical University, Japan
Akinori Nukui
Department of Urology, Jichi Medical University, Japan
Shigeaki Muto
Division of Nephrology, Department of Internal Medicine, Jichi Medical University, Japan
Tatsuo Morita
Department of Urology, Jichi Medical University, Japan
Daisuke Nagata
Division of Nephrology, Department of Internal Medicine, Jichi Medical University, Japan

キーワード: acute kidney injury, hemodialysis, renal cell carcinoma, renal vein obstruction, axitinib

ジャーナルオープンアクセス

2016 年 55 巻 17 号 p. 2447-2452

DOI https://doi.org/10.2169/internalmedicine.55.6724

詳細

抄録

Acute kidney injury (AKI) is caused by diverse pathologies, although it may occasionally result from concurrent renal efflux disturbances. We herein describe a case of AKI in a patient complicated by renal cell carcinoma (RCC) with renal vein and inferior vena cava (IVC) involvement. A neoplastic thrombus which disrupted the blood flow in the renal vein appeared to play a role in the rapid decline in the renal function. Such a scenario has rarely been mentioned in the previous literature describing the cases of RCC complicated by AKI. Concerns regarding the diagnostic and therapeutic strategies for RCC are also discussed.

責任著者(Corresponding author)

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