End stage renal disease caused by thromboangiitis obliterans: a case report

Journal of Medical Case Reports

Se-Hee Yoon²  Sung-Ro Yun¹  Won-Min Hwang¹  Seong-Joo Lim³  Kyung-Ho Lee¹  Dong-Il Kim¹  Hyo-Jin Yun¹ 

[1] Division of Nephrology, Department of Internal Medicine, Konyang University College of Medicine, 158 Gwanjeo-dong-ro, Seo-gu, Daejeon 302-718, South Korea;Konyang University Myunggok Medical Research Institute, Daejeon, South Korea;Department of Radiology, Konyang University College of Medicine, Daejeon, South Korea

关键词: Thromboangiitis obliterans;    Mesenteric ischemia;    Kidney;    Infarction;    End stage renal disease;   

Others  :  1231395
DOI  :  10.1186/s13256-015-0659-8

 received in 2015-03-24, accepted in 2015-07-20,  发布年份 2015

【 摘 要 】

Introduction

Thromboangiitis obliterans or Buerger’s disease is a nonatherosclerotic, segmental, inflammatory vasculitis that is strongly associated with tobacco products and commonly affects the small- and medium-sized arteries of the upper and lower extremities. However, the disease can, rarely, involve large central or visceral arteries. We report here the case of end stage renal disease due to renal artery thrombosis caused by thromboangiitis obliterans.

Case presentation

A 51-year-old Korean man who had previously required amputation of both great toes due to thromboangiitis obliterans presented with left flank pain and oliguria. Both his renal arteries were occluded on contrast-enhanced abdominal computed tomography and abdominal angiography. He also had abdominal angina. He had no risk factor of thromboembolism from cardiac origin, atherosclerosis except for tobacco abuse, collagen diseases or hypercoagulable disorders. Renal failure and mesenteric ischemia associated with thromboangiitis obliterans progression was diagnosed.

Conclusions

Renal failure due to renal artery thrombosis and mesenteric ischemia represents an unusual manifestation of thromboangiitis obliterans. But once it occurs, it can be life-threatening. When we care for a patient with thromboangiitis obliterans, we should pay attention to this rare disease course, and encourage cessation of the smoking of tobacco products.

【 授权许可】

   
2015 Yun et al.

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