An Unusual Cause of Abdominal Pain and Anaemia

2012 ◽  
Vol 11 (3) ◽  
pp. 166-166
Author(s):  
Matthew Meng Yang Lee ◽  
◽  
Christopher David McKenna ◽  
Alistair James Hart ◽  
David Scott ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Deep Vein Thrombosis ◽  
General Malaise ◽  
Shortness Of Breath ◽  
Quadrant Pain ◽  
Acute Medicine ◽  
Out Of Hours ◽  
Vein Thrombosis ◽  
Deep Vein ◽  
Deep Vein Thromboses

A 52-year old gentleman was referred to acute medicine by an out-of-hours general practitioner, with an unexplained ‘collapse’. The patient stated to have just ‘tripped and fallen’ with no new preceding symptoms immediately beforehand. Closer questioning revealed that he also been suffering from general malaise, shortness of breath, and five days of right upper quadrant pain and abdominal swelling. In the last six months he had lost thirtyeight kilograms in weight. He was diagnosed with a deep vein thrombosis in 1999 for which he had been treated with Warfarin. Both his parents had deep vein thromboses in their late 60s. He was a non-smoker, drank minimal alcohol and worked as a janitor. He was no longer anti-coagulated.

scholarly journals Acute pulmonary embolism complicating deep vein thrombosis in a young patient with stroke

2021 ◽  
Vol 11 (2) ◽  
pp. 142-144
Author(s):  
Mohammed Mirazur Rahman ◽  
Farjana Binte Habib ◽  
Ahmed Imran Kabir ◽  
Samprity Islam ◽  
Rajashish Chakrabortty ◽  
...  
Keyword(s):  
Pulmonary Embolism ◽  
Deep Vein Thrombosis ◽  
Lower Limb ◽  
Acute Pulmonary Embolism ◽  
Successful Outcome ◽  
Shortness Of Breath ◽  
Vein Thrombosis ◽  
Doppler Study ◽  
Left Lower Limb ◽  
Deep Vein

Acute pulmonary embolism is one of the most common causes of vascular death after myocardial infarction and cerebrovascular accidents. It usually presents with severe chest pain and shortness of breath and occasionally occurs in the background of deep vein thrombosis. A 32-year-old male presented with swelling of left lower limb and shortness of breath. Subsequent investigations revealed that he developed DVT of left lower limb and pulmonary embolism. However, in general, if left untreated, pulmonary embolism is associated with an overall mortality of up to 30 percent compared with 2 to 11 percent in those treated with anticoagulation. Early diagnosis by D-dimer, computed tomograpgy pulmonary angiogram and doppler study of the left lower limb and prompt intervention through low molecular weight heparin and rivaroxaban led to a successful outcome in our case. Birdem Med J 2021; 11(2): 142-144

FIBRINOLYTIC THERAPY WITH STREPTOKINASE AND UROKINASE IN DEEP VEIN THROMBOSIS

1987 ◽  
Author(s):  
G Trübestein ◽  
M Ludwig ◽  
M Wilgalis ◽  
R Trübestein ◽  
S Popov
Keyword(s):  
Deep Vein Thrombosis ◽  
Fibrinolytic Therapy ◽  
Vein Thrombosis ◽  
Complete Recanalisation ◽  
Group A ◽  
Acute Deep Vein Thrombosis ◽  
The Uk ◽  
Deep Vein ◽  
Heparin Dosage ◽  
Deep Vein Thromboses

336 patients with acute 1-6 day old, and subacute, 1-3 week old deep vein thrombosis were treated with streptokinase (SK) or urokinase (UK) up to April 1, 1985. 175 patients were included in the SK group, 161 patients in the UK group. A standardized SK-heparin and the standardized UK-heparin dosage scheme with 100.000 IU SK/h or 100.000 IU UK/ h were used. In patients with acute deep vein thrombosis a complete recanalisation could be achieved in 67% and a partial recanalisation in 25% with the standardized SK scheme; a complete recanalisation could be achieved in 46%, and a partial recanalisation in 30% with the standardized UK scheme.Since April 1, 1985 we use the ultra high SK dosage scheme, with an initial dose of 250.000 IU SK/h and a maintenance dose of 1.500.000 IU SK/h over.6 hours. So far 28 patients were treated in this way. The results show, that with an ultra high SK-dosage scheme a complete recanalisation could be achieved in 46% and a partial recanalisation in 25% in 1-6 day old deep vein thromboses. The results of both the SK schemes and the UK scheme are discussed in accordance with the haemostaseologica1 parameters.

scholarly journals Fungki Ulcers

2020 ◽  
Vol 3 (1) ◽  
pp. 01-03
Author(s):  
Shaadi Abughazaleh
Keyword(s):  
Deep Vein Thrombosis ◽  
Idiopathic Pulmonary Fibrosis ◽  
Pulmonary Fibrosis ◽  
Shortness Of Breath ◽  
Vein Thrombosis ◽  
Bilateral Lung Transplantation ◽  
Immunosuppressive Medications ◽  
History Of ◽  
Bilateral Lung ◽  
Deep Vein

A 61-year-old female with a history of bilateral lung transplantation for idiopathic pulmonary fibrosis presented with shortness of breath, cough and diarrhea. She was on chronic immunosuppressive medications, including Tacrolimus and mycophenolate, and on apixaban for deep vein thrombosis.

scholarly journals Spontaneous rupture of spleenic hemangioma: a case report

2019 ◽  
Vol 6 (5) ◽  
pp. 1780
Author(s):  
Pradeep Balineni ◽  
Shruthi Kamal ◽  
Sandeep Pathivada ◽  
Keerthana Shivaji
Keyword(s):  
Abdominal Pain ◽  
Deep Vein Thrombosis ◽  
Spontaneous Rupture ◽  
Fluid Collection ◽  
Barium Swallow ◽  
Benign Tumors ◽  
Large Collection ◽  
Congenital Nevus ◽  
Vein Thrombosis ◽  
Deep Vein

A 40 year old female presented with complaints of dysphagia, and regurgitation. On examination abdomen was soft, non tender, not distended and had no palpable organomeagaly. Patient was diagnosed of hiatus hernia after undergoing upper gastro intestinal scopy and barium swallow. Patient was planned for nissens laproscopic fundoplication. Intra-operatively patient was found to be having a large splenic hemangioma. Postoperatively patient had deep vein thrombosis for which intra-venous heparin was given. Post heparinization patient went into shock and ultrasound revealed a large collection in peri-splenic, spleeno-renal spaces. Spleenic hemangiomas are the 2nd common benign tumors of the spleen. Incidence of spleenic hemangioma is 0.02-0.16%. Spontaneous rupture of splenic hemangioma occurs rarely and is dreadly complication of splenic hemangioma. They may represent a congenital nevus. Patients present with spleenomegaly, abdominal pain, hypotension and dyspnea. A ultrasound would show a fluid collection in peri splenic areas. Emergency splenectomy is the treatment of choice for these patients.

scholarly journals Erratum – Acute Medicine 30 2011; 10(1): 29-31

2011 ◽  
Vol 10 (2) ◽  
pp. 107-107
Keyword(s):  
Deep Vein Thrombosis ◽  
Young Adult ◽  
Adult Patient ◽  
Acute Medicine ◽  
Vein Thrombosis ◽  
Young Adult Patient ◽  
Deep Vein

Acute Medicine 30 2011; 10(1): 29-31 V K Patel, B Warner, A Ceccherini & B Mearns An unusual cause of bilateral deep vein thrombosis in a young adult patient

scholarly journals Giant Lower Limb Myxoid Liposarcoma Causing Deep Vein Thrombosis, Complicated with Pulmonary Embolism Case Report

2019 ◽  
Vol 25 (1) ◽  
pp. 31-35
Author(s):  
Kaller Reka ◽  
Hălmaciu Ioana ◽  
Suciu Bogdan Andrei ◽  
Alexandru Strat ◽  
Toma Lucian ◽  
...  
Keyword(s):  
Pulmonary Embolism ◽  
Deep Vein Thrombosis ◽  
Lower Limb ◽  
Soft Part ◽  
Surgical Excision ◽  
Myxoid Liposarcoma ◽  
Shortness Of Breath ◽  
Vein Thrombosis ◽  
Deep Vein ◽  
Histologic Subtypes

Abstract Liposarcoma (LPS) is one of the most common histologic subtypes of adult soft tissue sarcoma. Here, we report the case of a 52-year-old woman complaining of shortness of breath, chest pain, painful leg swelling 24 hour before presentation at our institution. Despite a vascular, soft part ultrasound and CTA, which suspected a voluminous haematoma, a huge tumour was found and a myxoid liposarcoma was identified by surgical excision and a histological examination, respectively.

scholarly journals Life-Threatening Hemopericardium Associated with Rivaroxaban

2017 ◽  
Vol 2017 ◽  
pp. 1-3 ◽  
Author(s):  
Sijan Basnet ◽  
Niranjan Tachamo ◽  
Biswaraj Tharu ◽  
Rashmi Dhital ◽  
Sushil Ghimire ◽  
...  
Keyword(s):  
Deep Vein Thrombosis ◽  
Chest Pain ◽  
Oral Anticoagulants ◽  
Pericardial Fluid ◽  
Side Effect Profile ◽  
Shortness Of Breath ◽  
Vein Thrombosis ◽  
Novel Oral Anticoagulant ◽  
Life Threatening ◽  
Deep Vein

Rivaroxaban is a novel oral anticoagulant used in the treatment of venous thromboembolism. The use of this medication has expanded over the recent years with resultant expansion of side effect profile. We present a case of a 56-year-old female who presented with shortness of breath and chest pain 12 weeks after starting rivaroxaban for left upper extremity deep vein thrombosis. She was later diagnosed with spontaneous hemopericardium requiring pericardial fluid drainage. Rarer side effects like this will be encountered more often with the increasing use of novel oral anticoagulants. The clinicians should be cognizant of this entity among patients with shortness of breath and chest pain for timely diagnosis and intervention.

Feasibility Study of Catheter-directed Thrombolysis with Recombinant Staphylokinase in Deep Venous Thrombosis

1998 ◽  
Vol 79 (03) ◽  
pp. 517-519 ◽  
Author(s):  
Stephane Heymans ◽  
Raymond Verhaeghe ◽  
Luc Stockx ◽  
Désiré Collen
Keyword(s):  
Deep Vein Thrombosis ◽  
Continuous Infusion ◽  
High Speed ◽  
Minor Bleeding ◽  
Vein Thrombosis ◽  
Catheter Directed Thrombolysis ◽  
Long Term Follow Up ◽  
Valve Function ◽  
Rotating Impeller ◽  
Deep Vein

SummaryThe feasibility of catheter-directed thrombolysis with recombinant staphylokinase was evaluated in six selected patients with deep vein thrombosis. The patients underwent intrathrombus infusion of recombinant staphylokinase (2 mg bolus followed by a continuous infusion of 1 mg/h). Heparin was given via the catheter as a bolus (5000 U) and as a continuous infusion (1000 U/h). Complete lyis was obtained in five patients and partial lysis in one patient. Complications consisted of minor bleeding in four subjects. Symptomatic reocclusion occurred in one. Debulking of the thrombus mass by a high speed rotating impeller (n = 1) and stenting (n = 3) were used as additional interventions. An underlying anatomical abnormality was present in two patients. Long term follow up revealed normal patency in all patients and normal valve function in four patients. Symptomatic venous insufficiency with valve dysfunction was present in the two with a second thrombotic episode.Thus catheter-directed infusion of recombinant staphylokinase in patients with deep vein thrombosis appears feasible and may be associated with a high frequency of thrombolysis. Larger studies to define the clinical benefit of this treatment appear to be warranted.

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