scholarly journals Acute right iliofemoral deep vein thrombosis mimicking acute appendicitis in the postpartum period: a case report

2020 ◽  
Vol 102 (9) ◽  
pp. e1-e4
Author(s):  
S Karaisli ◽  
E Selcuk
Keyword(s):  
Deep Vein Thrombosis ◽  
Acute Appendicitis ◽  
Postpartum Period ◽  
Iliac Fossa ◽  
Correct Diagnosis ◽  
Uneventful Recovery ◽  
Surgical Interventions ◽  
Vein Thrombosis ◽  
Pregnancy And Postpartum ◽  
Deep Vein

The risk of venous thromboembolism increases during pregnancy and postpartum. The incidence in the first six weeks following delivery is approximately 0.15%. Deep vein thrombosis may present with acute appendicitis-like symptoms such as right iliac fossa pain, nausea and vomiting. A 22-year-old woman was admitted with complaints of abdominal pain and vomiting 20 days after spontaneous vaginal delivery. Physical examination and radiological findings were compatible with acute appendicitis. Preoperative re-examination and re-evaluation of computed tomography revealed concomitant deep vein thrombosis on the right side. The patient underwent laparotomy and a normal appendix and ovaries were found. She had an uneventful recovery. Anticoagulant treatment was administered for six months. Early and correct diagnosis should be established to avoid complications of deep vein thrombosis and prevent unnecessary surgical interventions. Physicians should be aware of deep vein thrombosis in women who present acute appendicitis-like symptoms, especially during pregnancy and in the postpartum period.

Combined Venography And Arthrography In Patients With Joint Pains And A Swollen Calf

1981 ◽  
Author(s):  
J J F Belch ◽  
N McMillan ◽  
G D O Lowe ◽  
C D Forbes
Keyword(s):  
Deep Vein Thrombosis ◽  
Clinical Diagnosis ◽  
Joint Pain ◽  
Correct Diagnosis ◽  
Clinical Suspicion ◽  
Baker’S Cyst ◽  
Vein Thrombosis ◽  
Baker's Cyst ◽  
History Of ◽  
Deep Vein

Ruptured Baker’s cyst is a well recognised cause of confusion in the diagnosis of deep vein thrombosis (D.V.T.) in patients with arthralgia. Many workers have stressed the need for a high index of clinical suspicion combined with either venography or arthrography, yet in no study has simultaneous arthrography and venography been performed. Ten patients with joint pains admitted because of a swollen calf underwent bilateral ascending venography and unilateral arthrography within 24 hours of admission. Results were compared with the initial clinical diagnosis. On only one out of 10 occasions was the original clinical diagnosis correct. One patient had a D.V.T. alone, 5 patients had a Baker’s cyst and 3 patients had both D.V.T. and Baker’s cyst. One patient had no evidence of either. We conclude that any patient with a history of joint pain who develops a swollen calf should have both a venogram and an arthrogram performed in order to establish the correct diagnosis.

May-Thurner Syndrome Resulting in Acute Iliofemoral Deep Vein Thrombosis in the Postpartum Period

2008 ◽  
Vol 111 (2, Part 2) ◽  
pp. 565-569 ◽  
Author(s):  
Kimberly D. Zander ◽  
Barton Staat ◽  
Henry Galan
Keyword(s):  
Deep Vein Thrombosis ◽  
Postpartum Period ◽  
Vein Thrombosis ◽  
Deep Vein

scholarly journals Strategies for Diagnosis and Prevention of Venous Thromboembolism during Pregnancy

2011 ◽  
Vol 2011 ◽  
pp. 1-7 ◽  
Author(s):  
Shalini Jain Bagaria ◽  
V. B. Bagaria
Keyword(s):  
Risk Factors ◽  
Deep Vein Thrombosis ◽  
Venous Thromboembolism ◽  
Adverse Effects ◽  
Risk Stratification ◽  
Postpartum Period ◽  
Vein Thrombosis ◽  
Altered Physiology ◽  
Deep Vein ◽  
In Pregnancy

Pregnancy and the postpartum period have an increased incidence of venous thromboembolism (VTE). The condition is unique during this period for several reasons. Primarily, because there is complexity in diagnosing this condition in view of altered physiology and preexisting edema in pregnancy and also because there are restrictions on the use of certain drugs and a need for vigilant monitoring of anticoagulant activities of drugs during the period. The problem is compounded and assumes the highest order of significance since two lives are involved and all the investigations and management done should also take into account the potential adverse effects on the foetus. In order to prevent the development of VTE during pregnancy, sound clinical evaluation for risk factors, risk stratification, and optimal use of resource both mechanical and pharmacological is necessary. This paper details strategies in preventing development of deep vein thrombosis and treatment of VTEs.

Upper Extremity Deep Vein Thrombosis: Current Knowledge and Future Directions

2021 ◽  
Author(s):  
Hiu Lam Agnes Yuen ◽  
Huyen Tran ◽  
Sanjeev Chunilal
Keyword(s):  
Deep Vein Thrombosis ◽  
Upper Extremity ◽  
Current Knowledge ◽  
Current Evidence ◽  
Future Directions ◽  
Surgical Interventions ◽  
Vein Thrombosis ◽  
Pacemaker Leads ◽  
Intravascular Catheters ◽  
Deep Vein

AbstractUpper extremity deep vein thrombosis (UEDVT) has been increasing in incidence due to the escalating use of central venous catheters such as peripherally inserted central catheters. UEDVT can be primary idiopathic or secondary to pacemaker leads, intravascular catheters or cancer. In comparison to conventional venous thromboembolism such as lower limb deep vein thrombosis or pulmonary embolism the risk factors, investigations, and management are not well defined. We review current evidence in primary and secondary UEDVT, highlighting areas in need of further research. We also explore the entity of venous thoracic outlet syndrome, which is said to be a risk factor for recurrent primary UEDVT and is the rationale behind surgical interventions.

Tumor Thrombus Arising from Osteosarcoma

2017 ◽  
Vol 41 (3) ◽  
pp. 123-125
Author(s):  
Emily Walder ◽  
Meredith L. Usher
Keyword(s):  
Deep Vein Thrombosis ◽  
Lower Extremity ◽  
Knee Pain ◽  
Tumor Thrombus ◽  
Correct Diagnosis ◽  
Left Knee ◽  
Rare Finding ◽  
Vein Thrombosis ◽  
Deep Vein

Tumor thrombus is a rare finding in patients diagnosed with osteosarcoma. A patient presented to our hospital with left knee pain and was diagnosed with osteosarcoma. Several months later, because of acute left foot swelling, a unilateral lower extremity venous duplex exam was performed and the patient was diagnosed with deep vein thrombosis (DVT). After further surgeries and tests, the previously diagnosed DVT was realized to be tumor thrombus. Although tumor thrombus mimics DVT on ultrasound, it is important to note subtle differences that may assist in making the correct diagnosis.

scholarly journals Deep Vein Thrombosis and Pulmonary Embolism in a Woman with Uterine Myoma

1970 ◽  
Vol 23 (2) ◽  
pp. 78-81
Author(s):  
R Nawaz ◽  
S Haque ◽  
K Shaha
Keyword(s):  
Pulmonary Embolism ◽  
Deep Vein Thrombosis ◽  
Anticoagulation Therapy ◽  
Rare Event ◽  
Total Abdominal Hysterectomy ◽  
Abdominal Hysterectomy ◽  
Uterine Myoma ◽  
Uneventful Recovery ◽  
Vein Thrombosis ◽  
Deep Vein

Background:. Deep vein thrombosis and pulmonary embolism are rare complications of uterine myoma. There have been few reports on these associations. Case: A 41 year old para 1+0 presented with 20 weeks size fibroid uterus, which had compressed the pelvic veins and caused unilateral deep vein thrombosis of right leg with subsequent pulmonary embolism. After anticoagulation therapy, a total abdominal hysterectomy was performed, with an uneventful recovery. Conclusion: Although deep vein thrombosis and pulmonary embolism associated with uterine myoma is a rare event, it can be managed successfully with anticoagulants and hysterectomy. A uterine myoma with deep vein thrombosis and pulmonary embolism is an indication for hysterectomy. DOI: 10.3329/bjog.v23i2.4965 Bangladesh J Obstet Gynaecol, 2008; Vol. 23(2) : 78-81

scholarly journals A Case of Deep Vein Thrombosis in the Postpartum Period

2015 ◽  
Vol 5 (1) ◽  
pp. 28-30
Author(s):  
Hande Atalay ◽  
Fatih Teker ◽  
Banu Boyuk ◽  
Aslan Celebi ◽  
Yavuz Ayar ◽  
...  
Keyword(s):  
Deep Vein Thrombosis ◽  
Postpartum Period ◽  
Vein Thrombosis ◽  
Deep Vein

Treatment of cancer-associated thrombosis after craniotomy.

2019 ◽  
Vol 37 (15_suppl) ◽  
pp. e13510-e13510
Author(s):  
Oksana V. Katelnitskaya ◽  
Oleg I. Kit ◽  
Eduard Evgenevich Rostorguev ◽  
Natalya S. Kuznetsova ◽  
David H. Porksheyan ◽  
...  
Keyword(s):  
Deep Vein Thrombosis ◽  
Anticoagulant Therapy ◽  
Femoral Vein ◽  
Oral Anticoagulants ◽  
Integrated Approach ◽  
Tumor Biopsy ◽  
Surgical Interventions ◽  
Vein Thrombosis ◽  
Deep Vein ◽  
D Dimer

e13510 Background: The high rates of mortality from venous thromboembolism (VTE) in neurooncological patients determine the relevance of the topic. The risk of VTE in patients with glioma reaches 36% during the treatment period, 16.1% during the first 6 months and increases by 3 times after tumor biopsy. The aim of this study was to evaluate the efficacy and safety of VTE treatment with fondaparinux after surgical interventions for brain tumors. Methods: The study included 32 cancer patients aged from 27 to 76 years (mean 56.5 years) in the acute period of VTE, the first month after craniotomy. Creatinine clearance below 30 ml/min, active bleeding, thrombocytopenia below 50x109/l were exclusion criteria. Glioma was diagnosed in 15 patients (46.9%), metastasis - 9 (28.1%), and meningioma - 8 patients (25%). Radical interventions were performed in 12 (37.5%) cases, palliative - 20 (62.5%). In 81.2% of cases (26 patients) deep vein thrombosis of lower extremities (DVT) was detected, 3 patients (9.4%) had combination with pulmonary embolism. VTE developed in the postoperative period with radiotherapy in 9 cases (32%), dexamethasone - 13 (40.6%). Surgical treatment of DVT was performed in 8 patients (thrombectomy, plication of the femoral vein). Segmental deep vein thrombosis of the lower leg was detected in 14 (43.8%) cases. Results: The efficiency of anticoagulant therapy was assessed by a decrease of thrombinemia markers (fibrinogen, SFMC and D-dimer). After a week of anticoagulant therapy, a significant reduction in the level of D-dimer was observed. However, the decline in fibrinogen and SFMC was statistically insignificant. VTE therapy was performed with fondaparinux in a therapeutic dose from 10 days to 1 month, followed by a transition to oral anticoagulants. There was no hospital mortality. Hematuria developed in one case (3.1%), and was managed conservatively. There were no hemorrhagic complications in the operative intervention zone. Two patients (6.25%) had a recurrence of VTE during the period of radiation therapy. Conclusions: An integrated approach to the treatment of VTE in patients undergoing craniotomy provides a low incidence of recurrent VTE and major bleeding.

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