Soonchunhyang Med Sci.  2014 Dec;20(2):145-148. 10.0000/sms.2014.20.2.145.

A Case of Idiopathic Aortitis with Left Renal Vein Thrombosis

• Yun HJ
• Jeong JU
• Shin JH
• Choi JH
• Na YM
• Myeong JC
• Bang KT

• KMID: 2317743
• DOI: http://doi.org/10.0000/sms.2014.20.2.145

Abstract

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 of the left costovertebral angle. Laboratory data revealed white blood cell 16,060/microL, 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) showed the thickened abdominal aorta wall with partial thrombus. The thickened aorta wall compressed the left renal vein and it caused left renal vein thrombosis. Abdominal CT findings suggested aortitis of the abdominal aorta with complication of left renal vein. We could exclude other types of aortitis including autoimmune aortitis, Takayasu's arteritis, giant cell arteritis, and infectious causes based on a serologic test and the history of the patient. Therefore, the patient was diagnosed with idiopathic aortitis and treated with glucocorticoid. After treatment, his symptoms disappeared and a follow-up CT showed decreased mural thickening of the abdominal aorta. Isolated idiopathic aortitis presented with renal vein thrombosis is extremely rare and has not been reported in Korea yet. We present a rare case report on idiopathic aortitis of the abdominal aorta with complication of left renal vein thrombosis.

Keyword

Aortitis; Renal veins; Thrombosis; Inflammation; Aorta

MeSH Terms

Adult
Aorta
Aorta, Abdominal
Aortitis*
C-Reactive Protein
Fever
Flank Pain
Follow-Up Studies
Giant Cell Arteritis
Humans
Inflammation
Korea
Leukocytes
Physical Examination
Proteinuria
Renal Veins*
Serologic Tests
Takayasu Arteritis
Thrombosis*
Tomography, X-Ray Computed
Urinalysis
C-Reactive Protein