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H:
Adult man, 52-years-old,
is suffering from a hypernephroma of the right kidney. Since three months the
patient has bilateral oedema of the legs. The patient is immobile and previous
deep venous thrombosis (DVT) is known.
INFO/WWW-LINKS:
The typical patient
with hypernephroma is male and 40-60 years old. The tumor usually invades
the inferior vena cava and the renal veins. It may occur tumor thrombosis.
Risk factors of DVT or thrombosis of the IVC are age, pregnancy oestrogen
drugs, surgery (especially pelvic surgery) previous DVT, malignancy, obesity
and immobility.
D:
Hypernephroma with
extention to the inferior vena cava and additional DVT causing increased venous
pressure in the IVC. There are cavocaval collaterals
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