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Title: 下大静脈腫瘍塞栓を伴う腎細胞癌に対する腎動脈塞栓術後,肺動脈塞栓にて急死した1例
Other Titles: A case of sudden death by pulmonary embolism after angio-embolization of renal cell carcinoma extending into the inferior vena cava
Authors: 奥田, 比佐志  KAKEN_name
戸田, 房子  KAKEN_name
伊藤, 文夫  KAKEN_name
龍治, 修  KAKEN_name
合谷, 信行  KAKEN_name
中沢, 速和  KAKEN_name
東間, 紘  KAKEN_name
Author's alias: OKUDA, Hisashi
TODA, Fusako
ITO, Fumio
RYOJI, Osamu
GOYA, Nobuyuki
NAKAZAWA, Hayakazu
TOMA, Hiroshi
Keywords: RCC
Intra-caval tumor thrombus
Issue Date: Jan-1999
Publisher: 泌尿器科紀要刊行会
Journal title: 泌尿器科紀要
Volume: 45
Issue: 1
Start page: 49
End page: 51
Abstract: We report a 42-year-old renal-transplanted man with renal cell carcinoma (RCC) in the native kidney. He was admitted with gross hematuria and general fatigue as the chief complaint. Ultrasonography, computed tomography, magnetic resonance imaging and angiography, revealed a right RCC with intracaval tumor thrombus extending to the level of hepatic veins. Since selective renal angiography demonstrated a hypervascular tumor, angio-embolization was performed preoperatively. However, he died suddenly the next morning despite aggressive resuscitative measures. Autopsy revealed bilateral pulmonary arteries obstructed by the tumor thrombus. Renal arterial embolization is useful for advanced RCC, and side effects are mostly transient and well tolerated by the patients. However, indications for angio-embolization should be selected carefully with such a fatal case as this patient kept in mind.
PubMed ID: 10086267
Appears in Collections:Vol.45 No.1

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