External Iliac Vein Stenosis
We would like to report a special case about deep venous thrombosis(DVT). To be more exactly it was an external iliac vein stenosis. We had a 35 year old woman who went to hospital because of severe lower abdominal pain and chronic leg swelling on the right. So we made her some tests to make sure her problem. On ultrasound, we found out that she had an external iliac stenosis completely because of DVT. As you can see, her right external-iliac vein was inflated but it was not being flattened when i put pressure on it. So we diagnosed her with external iliac thrombosis.
According to http://emedicine.medscape.com “Deep venous thrombosis (DVT) is also one of the most prevalent medical problems today, with an annual incidence of 117 cases per 100,000. Each year in the United States, more than 200,000 people develop venous thrombosis; of those, 50,000 cases are complicated by pulmonary embolism.1 Early recognition and appropriate treatment of deep venous thrombosis (DVT) and its complications can save many lives”.
In conclusion, We must diagnose DVT if they have some of the following symtoms:
1. Having a change of colour and/or size of the right or left leg, red swelling leg for instance.
2. On 2D ultrasound, Veins could not be flattened when we slightly put pressure on it.
3. As usual, inside those veins have a mix echogenic reflection instead of free echogenicity.
4. To make sure it was blocked completely we need to do a proximal or distal pressure test.
Here are some pictures of this case, please take a look at page2
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