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KILT sindrome
EL síndrome de KILT
Paula Velasco Hernández
, Oliver Bonnelly González, Julián David Flórez García, Francisco Santiago Lozano Sánchez
Corresponding author
Hospital Universitario de Salamanca, Departamento de Angiología y Cirugía Vascular, Salamanca, Spain
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array:4 [ "autoresLista" => "Paula Velasco Hernández, Oliver Bonnelly González, Julián David Flórez García, Francisco Santiago Lozano Sánchez" "autores" => array:4 [ 0 => array:4 [ "nombre" => "Paula" "apellidos" => "Velasco Hernández" "email" => array:1 [ 0 => "pvelascoh@saludcastillayleon.es" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "*" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "Oliver" "apellidos" => "Bonnelly González" "email" => array:1 [ 0 => "Obonnelly@saludcastillayleon.es" ] ] 2 => array:3 [ "nombre" => "Julián David" "apellidos" => "Flórez García" "email" => array:1 [ 0 => "jdflorez@saludcastillayleon.es" ] ] 3 => array:3 [ "nombre" => "Francisco Santiago" "apellidos" => "Lozano Sánchez" "email" => array:1 [ 0 => "lozano@usal.es" ] ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Hospital Universitario de Salamanca, Departamento de Angiología y Cirugía Vascular, Salamanca, Spain" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "<span class="elsevierStyleItalic">Corresponding author</span>." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "EL síndrome de KILT" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig0010" "etiqueta" => "Fig. 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 908 "Ancho" => 900 "Tamanyo" => 72625 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0020" "detalle" => "Fig. " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">MRI: Thrombosis at the level of the ilio-caval axis. Right renal agenesis and absence of intrahepatic IVC.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 41-year-old man, with no risk factors, with acute epigastric pain. An emergency CT angiography showed bilateral pulmonary embolism. Admission for anticoagulant treatment and study. Thrombophilia, tumour markers, and venous Doppler ultrasound negative. A <span class="elsevierStyleItalic">body-CT scan</span> (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>) showed right renal agenesis, inferior vena cava thrombosis extending to the bilateral ilio-femoral sector, and absence of repletion of its hepatic segment (KILT syndrome). A subsequent MRI (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>) ruled out neoformation and confirmed previous findings. The patient had a satisfactory evolution and was discharged with indefinite oral anticoagulation and elastic compression stockings. At 5-year follow-up: bilateral grade 3 post-thrombotic syndrome.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">DIAGNOSIS: KILT SYNDROME (Kidney and inferior vena cava abnormalities with Leg Thrombosis)</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Velasco Hernández P, Bonnelly González O, Florez García JD, Lozano Sánchez FS. El síndrome de KILT. Cir Esp. 2024. <span class="elsevierStyleInterRef" id="intr0005" href="https://doi.org/10.1016/j.ciresp.2024.04.008">https://doi.org/10.1016/j.ciresp.2024.04.008</span></p>" ] ] "multimedia" => array:2 [ 0 => array:8 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 551 "Ancho" => 900 "Tamanyo" => 48805 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0015" "detalle" => "Fig. " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">CT scan: Right renal agenesis, and absence of subhepatic and intrahepatic inferior vena cava (IVC). Dilated infrahepatic IVC with thrombosis extending to both iliac and femoral veins.</p>" ] ] 1 => array:8 [ "identificador" => "fig0010" "etiqueta" => "Fig. 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 908 "Ancho" => 900 "Tamanyo" => 72625 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0020" "detalle" => "Fig. " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">MRI: Thrombosis at the level of the ilio-caval axis. 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