Deep Vein Thrombosis in a Young Man : A Case Report
Keywords:
Deep vein thrombosis in the young, Unfractionated heparin, Coumadin, Hypercoagulable stateAbstract
Abstract: A 29-year-old man, presented with left leg pain and swelling for 3 days with no history of trauma or immobilization. He also expenced low back pain and left thigh tendemess 6 weeks prior to this ilness. Past history was unremarkable except bilateral ureteric stone which he under-went laser surgery 1 1/2 years ago. Physical examination revealed marked swelling of left leg below
inguinal area. No hepatosplenomegaly or lymphadenobathy was detected. Dublex study of both femoral veins was suggestive of partial left femoral vein thrombosis. Chest X-ray showed scattered nodular shadows right lung, possibly metastases or interstitial pneumonia. He was initially treated with unfractionated heparin and then coumadin with good response. Because of his young age,
ur investigations for searching of underlying diseases, included hypercoagulable sta and eventually revealed diagnosis. With proper management, he is now still alive for more than five years. This case is a good example and reminder for thorough wolk-up in young natient with venous thrombosis.
Downloads
References
Huisman MV, Buller HR, Ten Cate CJ, et al. Serial impedance plethysemography for suspected deep venous thrombosis in outpatients: The Amsterdam General Practioner Study. NEngl J Med 1986;314:823.
Hull RD, Hirsh J, Carter C, et al. Diagnostic efficacy of impedance plethysemography for clinically suspected deep vein thrombosis: A randomized trial. Ann Intern Med 1985;102:21.
Mavor GE, Kasenally AT, Harper DR, Woodruff PWH. Thrombosis of the subclavian-axillary artery following radiotherapy for cancer of the breast. Br J Surg 1973;60:983.
Wyles PG, Birtwell AJ, Davis JA, Chennells P. Sub-clavian vein notch: A phlebographic abnormality associated with subclavian-axillary vein thrombosis. Br J Hosp Med 1987;37:349.
Abdu RA, Zakhour B, Dallis JH. Review of mesenteric vein thrombosis 1911 to 1984. Surgery 1987;101:383.
Nesbit RR, DeWesse JA. Mesenteric vein thrombosis and oral contraceptives. South Med J 1977;70:360.
Bauer KA. Hypercoagulable states in Hematology Basic Principles and Practice In: Hottman R, Benz EJ Jr. Shattil SJ, Furie B, Cohen HJ, Siberstein LE, McGlave P, eds. 3rd ed. New York: Churchill Livingstone 2000:2009-39.
Trousseau A. Phlegmasia alba dolens. Clinique Medicale de l' Hotel-Dieu de Paris 1865;3:94.
Sorensen HT, Mellenkjaer L, Olsen JH, Baron JA. Prognosis of cancers associated with venous thromboembolism 2000;343:1846-50.
Downloads
Published
Issue
Section
License
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
