case_images: PMC11729631_01
case_images: (A) Bilateral pulmonary emboli in main pulmonary trunks. (B) Wedge-shaped infarct in right lower lobe. (C) Bilateral renal vein thrombosis. (D) Bilateral iliac vein thrombosis
case_images: medi-104-e41241-g001.jpg
case_images: PMC11729631_01_medi-104-e41241-g001.jpg
case_images: F1
case_images: The thrombus extended to the inferior vena cava (IVC), bilateral renal veins, and iliac veins (Fig. 1).
case_images: IVC filter was inserted via right internal jugular access prior to procedure (arrow). (A) Initial angiogram showing non-opacification of IVC from right femoral vein access. (B) Bilateral iliac vein angioplasty after angio-jet thrombolysis. (C) Restoration of blood flow with collaterals in IVC.
case_images: medi-104-e41241-g002.jpg
case_images: PMC11729631_01_medi-104-e41241-g002.jpg
case_images: F2
case_images: Thrombectomy and thrombolysis with catheter-administered rTPA, angio-jet thrombectomy, and balloon angioplasty were performed on the iliac veins and IVC (Fig. 2), achieving partial recanalization.
case_images: (A) Glomerulus with rigid-appearing capillary loops, with absence of endocapillary hypercellularity (periodic acid-Schiff stain, original magnification: 400x). (B) The glomerular capillary loops show "holes" and/or "spikes" on the PAAG stain (periodic acid-silver (PAAG) stain, original magnification 600x). (C) Immunofluorescence staining for PLA2R showing moderate (2 + intensity) finely to coarsely granular capillary loop staining (original magnification: 400x).
case_images: medi-104-e41241-g003.jpg
case_images: PMC11729631_01_medi-104-e41241-g003.jpg
case_images: F3
case_images: Histopathological examination confirmed the diagnosis of MN (Fig. 3).