Sonography in Differential Diagnosis of Deep Venous Thrombosis of the Leg

Aronen, Hannu J.; Pamilo, M.; Suoranta, H; Suramo, I

doi:10.1177/028418518702800417

Cited by 3 publications

(2 citation statements)

References 24 publications

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“…Thus, imaging studies, such as ultrasound, CT, and MRI scan are often necessary. 6,25,[30][31][32] In conclusion, physicians should pay much more attention and be aware of the possibility of spontaneous hemorrhage when lower limb swelling occurs in patients undergoing HD receiving anticoagulant agents, especially in cases of patients with DN. Finally, a precise diagnosis and a differential diagnosis with venous thrombosis are particularly important for timely appropriate treatment to avoid further complications.…”

Section: Discussionmentioning

confidence: 99%

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Spontaneous calf hematoma in a patient with diabetic nephropathy receiving maintenance hemodialysis: A case report and review of the literature

Xiao

Ling

Tan

et al. 2014

Hemodialysis International

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We report the outcome of a 52-year-old patient with diabetic nephropathy and receiving maintenance hemodialysis (HD) using low molecular weight heparin (LMWH) as an anticoagulant for 2 years. He presented right lower limb pain accompanied with difficulty in walking for 2 months, and had no history of bleeding tendency or trauma. Physical examination revealed marked swelling and tenderness on his right lower limb. By ultrasound and magnetic resonance imaging (MRI) diagnoses, the calf hematoma was diagnosed and identified with venous thrombosis. Following treatment with heparin-free HD, the swelling regressed and pain subsided, and a follow-up MRI showed complete dissolution of hematoma. However, similar symptoms recurred in the right upper limb after 2 months without any predisposition, he was just placed on HD with LMWH, and symptoms regressed following the aforementioned therapy. This suggests that HD patients, especially with diabetic nephropathy having extremity hematoma, should be watched for the development of spontaneous hemorrhage that can be differentially diagnosed by imaging tests, such as MRI, and can be effectively treated with heparin-free HD.

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Section: Discussionmentioning

confidence: 99%

“…However, the findings in the physical examination are often not so specific for the identification of spontaneous hematoma versus DVT. Thus, imaging studies, such as ultrasound, CT, and MRI scan are often necessary …”

Section: Discussionmentioning

confidence: 99%

Spontaneous calf hematoma in a patient with diabetic nephropathy receiving maintenance hemodialysis: A case report and review of the literature

Xiao

Ling

Tan

et al. 2014

Hemodialysis International

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Baker's Cyst Causing Deep Venous Thrombosis

Ricci¹,

Howe

1996

Vascular Surgery

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Although Baker's cysts may mimic deep vein thrombosis, it is unusual for the two conditions to coexist in the same patient. The authors report a case of a fifty-eight-year-old man who had repeated episodes of deep venous thrombosis in spite of anticoagulation and arthroscopic joint debridement. Ultimately, total knee arthroplasty corrected the problem so that the patient has had no further recurrence of venous thrombosis upon follow-up. A brief discussion of these two conditions follows the case report.

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Compression Sonography in the Diagnosis of Deep Venous Thrombosis of the Leg

Aronen¹,

E²,

Yrjänä³

et al. 1994

Annals of Medicine

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The value of compression sonography was assessed to reduce the number of phlebographies otherwise necessary when deep venous thrombosis (DVT) is suspected among hospital patients. Compression sonography was used to study 119 prospective hospital patients who were suspected of having DVT of the lower extremity. The results were compared to those by phlebography. There were 44 DVTs detected by phlebography; ten of these were located only in the calf, below the knee. Of the remaining 34 femoropopliteal DVTs 33 were detected by the compression sonography technique. It is concluded that the use of compression sonography for primary investigation of suspected DVT reduces the number of patients who require phlebography to those whose results by compression sonography are negative. In our study, this would have represented a decrease of 28%, corresponding to a reduction of the total diagnostic costs by 10%.

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Sonography in Differential Diagnosis of Deep Venous Thrombosis of the Leg

Cited by 3 publications

References 24 publications

Spontaneous calf hematoma in a patient with diabetic nephropathy receiving maintenance hemodialysis: A case report and review of the literature

Spontaneous calf hematoma in a patient with diabetic nephropathy receiving maintenance hemodialysis: A case report and review of the literature

Baker's Cyst Causing Deep Venous Thrombosis

Compression Sonography in the Diagnosis of Deep Venous Thrombosis of the Leg

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