Thrombosis and Embolism Resulting From Renal Tumors

Thrombosis and obstruction of the inferior vena cava may result from infection, trauma or neoplastic extension from regional organs. Pleasants,¹and Jacobson and Goodpasture²have presented excellent reviews of the subject, with complete analyses of the literature. The following case is an unusual example of a fatal embolus arising from adenocarcinoma of the kidney following nephrectomy. REPORT OF A CASE OF THROMBOSIS AND EMBOLISM History. —J. J. G., a man, aged 29, came to the clinic, July 20, 1923, complaining of pain in the right loin and back, of six months' duration. At the onset the pain was mild and fairly constant, but it became more severe if the patient stooped forward. Three months before examination he had had several severe attacks of colic in the area of the right kidney; the pain radiated to the genitalia. The appendix was removed without relief. One month before, he had