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- Kazuya Tsubouchi, Ritsu Ibusuki, Kenji Makisumi, Hirofumi Okamoto, Takeshi Iwasaki, Yuki Okamatsu, Katsuhiro Inoue, and Taishi Harada.
- Department of Respiratory Medicine, Japan Community Health Care Organization Kyushu Hospital, Japan.
- Intern. Med. 2021 Jun 15; 60 (12): 1907-1910.
AbstractA 72-year-old man presented with back pain due to a mass in the left posterior mediastinum that had surrounded and partly infiltrated the descending aorta. Mediastinal undifferentiated sarcoma was diagnosed. After the diagnosis, sudden anuria was observed. Contrast-enhanced computed tomography revealed an enhancement defect at the origins of the bilateral renal arteries. He received catheter-directed thrombolysis and was weaned off dialysis. The aspirated artery thrombus contained tumor cells, proving our diagnosis of acute kidney injury secondary to bilateral renal artery tumor embolism. In cancer patients, endovascular intervention may be a useful diagnostic and therapeutic option in cases of acute kidney injury secondary caused by peripheral thromboembolic complications.
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