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Postgraduate Education Corner: PULMONARY AND CRITICAL CARE PEARLS |

A 29-Year-Old Man With Pulmonary Complications of a Thrombotic Disorder*

Anand Rose, MD; Dimitar Sajkov, MD, DSc, PhD, FCCP
Author and Funding Information

*From the Respiratory Unit, Flinders Medical Centre, Bedford Park, SA, Australia.

Correspondence to: Anand Rose, MD, Respiratory Unit, Flinders Medical Centre, Bedford Park, SA 5042, Australia; e-mail: Anand.Rose@rgh.sa.gov.au



Chest. 2007;132(6):2008-2011. doi:10.1378/chest.07-0247
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Extract

A 29-year-old man with no significant medical history presented with lower abdominal discomfort of 2-week duration. He was obese (body mass index, 44 kg/m2) and hypertensive (BP, 160/90 mm Hg), and had moderate bilateral pedal edema. Abdominal examination revealed a right-sided varicocele. Cardiovascular and respiratory examination findings were normal. Doppler ultrasound revealed a right renal vein thrombosis and confirmed the presence of a varicocele on the same side. Laboratory investigations revealed mild renal impairment and moderate proteinuria. A tight stenosis of the infrahepatic portion of the inferior vena cava was identified on a magnetic resonance venogram in addition to the Doppler ultrasound findings. The presence of collaterals suggested that the occlusion was not a recent occurrence.

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