Deep vein thrombosis (DVT) is a major national health problem, especially among the critically ill and elderly. Most clinically significant DVTs involve the proximal veins of the lower limb, particularly the iliac, common femoral, femoral, and popliteal veins.
Case Study
We report a 53-year-old man sent to our vascular laboratory for ultrasound examination of the lower extremities to investigate the cause of nonpitting edema in both lower extremities. The ultrasound examination revealed isolated bilateral thrombosis in the deep femoral veins.
Conclusion
This is the first reported case of bilateral isolated deep femoral vein thrombosis.
Get full access to this article
View all access options for this article.
References
1.
KearonC.Natural history of venous thromboembolism [review]. Circulation2003; 107(Suppl 1): I22–I30.
2.
GalanaudJ.P., Sevestre-PietriM.A., BossonJ.L.OPTIMEVSFMV Investigators. Comparative study on risk factors and early outcome of symptomatic distal versus proximal deep vein thrombosis: Results from the OPTIMEV study. Thromb Haemost2009; 102: 493.
3.
HabscheidW.Isolated thrombosis of the vena profunda femoris as the source of embolisms. A diagnosis easy to supply using duplex sonography [in German]. Dtsch Med Wochenschr1999; 124: 793–796.
4.
SilversteinM.D., HeitJ.A., MohrD.N., PettersonT.M., O'FallonW.M., MeltonLJIII. Trends in the incidence of deep vein thrombosis and pulmonary embolism: A 25-year population-based study. Arch Intern Med1998; 158: 585–593.
5.
AndersonF.A.Jr., WheelerH.B., GoldbergR.J.A population-based perspective of the hospital incidence and case-fatality rates of deep vein thrombosis and pulmonary embolism. The Worcester DVT Study. Arch Intern Med1991; 151: 933–938.
6.
RosendaalF.R.Venous thrombosis: The role of genes, environment, and behavior. Hematology (Am Soc Hematol Educ Program)2005; 1–12.
7.
PrandoniP.Acquired risk factors of venous thromboembolism in medical patients. Pathophysiol Haemost Thromb2006; 35: 128–132.
8.
HeitJ.A., SilversteinM.D., MohrD.N., PettersonT.M., O'FallonW.M., MeltonLJIIIRisk factors for deep vein thrombosis and pulmonary embolism: A population-based case-control study. Arch Intern Med2000; 160: 809–815.
9.
AttiaJ., RayJ.G., CookD.J., DouketisJ., GinsbergJ.S., GeertsW.H.Deep vein thrombosis and its prevention in critically ill adults. Arch Intern Med2001; 161: 1268–1279. Review.
10.
GeertsW.H., PineoG.F., HeitJ.A., BergbistD., LassenM.R., ColwellC.W.Prevention of venous thromboembolism: The Seventh ACCP Conference on Antithrombotic and Thrombolytic Therapy. Chest2004; 126(3 Suppl): 338S–400S.
11.
BaglinT.P., WhiteK., CharlesA.Fatal pulmonary embolism in hospitalized medical patients. J Clin Pathol1997; 5: 609–610.
12.
JoyntG.M., KewJ., GomersallC.D., LeungV.Y., LiuE.K.Deep venous thrombosis caused by femoral venous catheters in critically ill adult patients. Chest2000; 117: 178–183.
