Sonographic Diagnosis of Plantar Vein Thrombosis

Abstract

Objective. The purpose of this series is to describe sonographic findings in 3 patients with plantar vein thrombosis. Methods. Three patients had sudden pain and swelling at the plantar side of the affected foot. Sonography of the plantar foot was performed with a broadband linear array working at 5 to 12 MHz. Gadolinium-enhanced magnetic resonance imaging was performed in 1 patient. Results. Sonography showed enlarged incompressible plantar veins in all 3 cases. Magnetic resonance imaging confirmed venous thrombosis in 1 case. Conclusions. Pain and swelling at the plantar side of the foot can be caused by plantar vein thrombosis. This type of rare thrombosis can be diagnosed with sonography. Key words: magnetic resonance imaging; plantar vein; sonography; thrombosis.Received September 22, 2004, Radiology, Innsbruck Medical University, Anichstrasse 35, 6020 Innsbruck, hrombosis of the plantar vein is an extremely rare condition. To our knowledge, in the radiologic literature there are only 2 reports of plantar vein thrombosis detected with sonography.

Tromboflebite plantar: achados em ressonância magnética

“…During our analysis, we found a few isolated case reports (5)(6)(7) and others with a larger number of cases described by Bernathova et al (2) and Barros and Labropoulos (8) . Therefore, we believe that this article presents the largest series reported in the English-language literature.…”

Plantar Vein Thrombosis due to Busy Night Duty on Intensive Care Unit

“…[2][3][4] Review of the literature showed that plantar vein thrombosis has been associated with athletic activity, 2 with immobilization following surgery, 5,6 with the coagulation disorders anticardiolipin antibody syndrome 4 and prothrombin G20210A mutation, 3 and as a paraneoplastic syndrome in a patient with bone metastasis. 2 We here present the first case of plantar vein thrombosis without prior surgery, malignancy, or coagulation disorders. In our case, plantar vein thrombosis was most probably caused by a busy night duty on ICU followed by a prolonged sleeping period for 14 hours.…”

“…Despite, the exact etiology of plantar vein thrombosis still being unknown, the predisposing conditions include previous trauma or surgery, paraneoplastic conditions, and coagulation disorders. [2][3][4] Indicative symptoms often imply swelling and pain of the respective foot. We present the first case of isolated plantar vein thrombosis independent of trauma, surgery, or malignant disease, most probably caused by a busy night duty on the intensive care unit (ICU) followed by a prolonged sleeping period.…”

Plantarvenenthrombose bei postoperativer Immobilisierung und Infektion des Fußes

“…Die häufigsten Symptome der Plantarvenenthrombose sind Fußschmerzen und eine Schwellung (2,3,11). Die Rezidivraten lagen in der Studie von Czihal bei 27 % (2).…”

“…Das Fuß-MRT wird nicht selten zur Differenzialdiagnostik bei Fußschmerzen durchgeführt und kann auch eine Plantarvenenthrombose, bei einem Füllungsdefekt der Vene, nachweisen (6,11 (8).…”