V. femoralis superficialis Thrombophlebitis
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Lately, however, several reports have suggested an association with deep-vein thrombosis, with one study finding an unexpectedly high rate of V. femoralis superficialis Thrombophlebitis embolism in patients with saphenous vein thrombosis and no obvious deep-vein involvement 1. A student aged 23 was seen with a five-day history of left calf swelling which began after 6 hours of immobility at her computer.
She gave no relevant medical history apart from V. femoralis superficialis Thrombophlebitis fact that she was awaiting varicose vein surgery. She was a non-smoker with a moderate alcohol learn more here ten to twelve units per week and had been on the combined oral contraceptive pill for the past 2 years for painful irregular periods.
There was no history of recent travel. On further questioning she mentioned that her mother had had a deepvein thrombosis post partum. The patient had not experienced haemoptysis, chest pain or shortness of breath and the findings on physical examination, electrocardiography and chest radiography were unremarkable.
She was afebrile V. femoralis superficialis Thrombophlebitis normotensive with a slightly raised D-dimer level of 0.
The left calf had a 2 cm greater circumference than the right and a thrombosis was palpable in the short saphenous vein with mild surrounding erythema and tenderness. An ultrasound scan of her left leg confirmed the presence of thrombus in the V.
femoralis superficialis Thrombophlebitis saphenous vein but no thrombosis was seen in the deep venous system. She was discharged on non-steroidal anti-inflammatory medication, having been given a contact telephone number in case symptoms worsened.
Six days later the patient was admitted after a collapse at home and subsequent episodes of hyperventilation. Gefährlicher als Thrombophlebitis had been out dancing the previous night and had consumed about eight units of alcohol. For the past two days she had been increasingly short of breath, with pleuritic pain around the left shoulder but no haemoptysis, sputum production or cough. On systemic examination the only obvious abnormality V.
femoralis superficialis Thrombophlebitis shortness of breath at rest respiration 26 per minute. Her left calf was still swollen though the calf measurements had V. femoralis superficialis Thrombophlebitis changed. Arterial blood pH was 7.
D-dimer was now 2. A subsequent ultrasound scan of her left leg showed that thrombus had extended into the popliteal and lower superficial femoral veins.
The patient was given tinzaparin and started on warfarin. On anticoagulation therapy she recovered without further incident. A thrombophilia screen revealed no genetic cause for her venous thromboembolism. Treatment includes non-steroidal anti-inflammatory drugs, other analgesia and rest. In one study, 43 of 50 patients with superficial thrombophlebitis of the great saphenous vein had pulmonary emboli 2.
Seemingly, complications are more likely with superficial thrombophlebitis of the long saphenous vein rather than the short one 4 though this is a contentious issue 5.
There are several reports of thrombus extending from the short saphenous vein into the deep-vein system 5Komplikationen nach Laser-Behandlung von Krampfadern. Should patients with superficial thrombophlebitis of the short and long saphenous veins receive anticoagulants?
This might be justifiable not only as a way to limit progression to deep-vein thrombosis and the hazard of pulmonary embolism but also in terms of symptom relief. National Library of Medicine. NCBI Skip to main. US National Library of Medicine. National Institutes of Health Search database PMC All Databases Assembly Biocollections BioProject BioSample BioSystems Books ClinVar Clone Conserved Domains dbGaP dbVar EST Gene Genome GEO DataSets GEO Profiles GSS GTR HomoloGene MedGen MeSH NCBI Web Site NLM Catalog Nucleotide OMIM PMC PopSet Probe Protein Protein Clusters PubChem BioAssay PubChem Compound PubChem V.
femoralis superficialis Thrombophlebitis PubMed PubMed Health SNP Sparcle SRA Structure Taxonomy ToolKit ToolKitAll ToolKitBook ToolKitBookgh UniGene Search term. Journal List J R Soc Med v. J R Soc Med. CASE HISTORY A student aged 23 was seen with a five-day history of left calf swelling which began after 6 hours of immobility at her computer. Verlato F, Zucchetta P, Prandoni P, et V. femoralis superficialis Thrombophlebitis. An unexpectedly high rate of pulmonary embolism in patients with superficial thrombophlebitis of the thigh.
J Vasc Surg ; 30 : [ PubMed ] 2. Markovic MD, Lotina SI, Davidovic LB, et al. Acute superficial thrombophlebitis: modern diagnosis and therapy. Srp Arch Celok Lek ; : V. femoralis superficialis Thrombophlebitis PubMed ] 3. Bounameaux H, Reber-Wasem MA. Superficial thrombophlebitis and deep vein thrombosis: a controversial association. Arch Intern Med ; : [ PubMed ] 4. Lutter KS, Rerr TM, Roedersheimer R, et al. Superficial thrombophlebitis diagnosed by Duplex scanning. Surgery ; : [ PubMed ] 5.
Jorgensen JO, Hanel KC, Morgan AM, Hunt JM. The incidence of deep vein thrombosis in patients with superficial thrombophlebitis of the lower limbs. J Vasc Surg ; 18 check this out [ PubMed ] 6. Blumenberg RM, Barton E, Gelfand ML, Skudder P, Brennan V. femoralis superficialis Thrombophlebitis. Occult deep vein V. femoralis superficialis Thrombophlebitis complicating superficial thrombophlebitis.
J Vasc Surg ; 27 : [ PubMed ] Articles from Journal of the Royal Society of Medicine are provided here courtesy of Royal Society of Medicine Press. Formats: Article PubReader ePub beta PDF K Citation Share. Please review our privacy V. femoralis superficialis Thrombophlebitis. Policies and Guidelines Contact.
- erkrankte Krampfadern Beine
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- Klinik Laserchirurgie Krampfadern Krasnoyarsk
- Kältebehandlung von Varizen
- Behandlung von venösen Geschwüren am Bein