Plantar vein thrombosis: a rare differential diagnosis in patients with plantar pain

Fabro, Maurício; Fabro, Sara Raquel Madalosso; Sales, Rafael; Machado, Cesar; Araújo, Gustavo Lopes de

doi:10.1590/0100-3984.2015.0075

Cited by 6 publications

(3 citation statements)

References 9 publications

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“…At the plantar region, venous thrombosis is rare and has been mainly described as affecting the deep venous plexus (1,3,8–11) with fewer cases confirmed (1) or directly diagnosed (12) with magnetic resonance (MR). Imaging appearance of DPVT was reported no more than 100 times (5). A MEDLINE review revealed that SCPVT is rarer than DPVT.…”

Section: Discussionmentioning

confidence: 99%

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Ultrasound findings in subcutaneous plantar vein thrombosis: retrospective analysis of seven patients

2021

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Background Several disorders may result in forefoot pain. An uncommon cause of forefoot pain is subcutaneous plantar veins thrombosis (SCPVT) involving veins superficial to the plantar fascia. Purpose To describe the ultrasound (US) appearance of SCPVT, which has been described only once in the radiological literature. Material and Methods We performed a retrospective search of our PACS system from 2016 to 2020 to collect all cases of US-diagnosed SCPVT. We collected data on seven patients. Two radiologists analyzed the US images retrieved. All US examinations were performed with a multifrequency linear probe (frequencies in the range of 5–17 MHz). Results A localized plantar nodule was palpable in 86% of patients. The subcutaneous thrombosed vein appeared in all patients as a round or ovoid nodule located in the subcutaneous tissues that corresponded in four patients (4/5, 80%) to the painful palpable nodule. The size was in the range of 4–7 mm (mean = 5.4 mm). The thrombosed vein presented a connection with adjacent patent veins, appeared enlarged, and almost filled with hypo-isoechoic material, and in two patients (2/7, 29%), a thin peripheral fluid component surrounding the thrombus was detectable. Continuous scanning demonstrated slow blood movements inside the peripheral component due to blood circulation. Failure to compress the lumen of the thrombosed vein during the real-time US was evident in all patients. Conclusion SCPVT is a rare or underreported condition. Sonologists must know the US appearance of SCPVT to exclude other conditions and avoid unnecessary invasive studies.

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Section: Discussionmentioning

confidence: 99%

“…Deep plantar vein thrombosis (DPVT) is a rare well-recognized entity associated with typical US findings (5). In these patients, the thrombosed vein is located deeper into the plantar fascia.…”

Section: Introductionmentioning

confidence: 99%

Ultrasound findings in subcutaneous plantar vein thrombosis: retrospective analysis of seven patients

2021

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“…However, being operator dependent, a diagnosis might be missed, and MRI is preferred for evaluating persistent foot pain 11 . The typical MRI finding is intraluminal filling defect in plantar veins in association with perivenular enhancement 12 . On the other hand, plantar fibromatosis shows ill-defined, infiltrative mass occurring in the deep aponeurosis adjacent to the plantar muscles with heterogeneous signal intensity equal to or less than that of skeletal muscle on both T1- and T2-weighted MRI 10 .…”

Section: Discussionmentioning

confidence: 99%

Isolated Plantar Vein Thrombosis Resembling a Corn with a Bruise

Hahm

Kim

et al. 2019

Ann Dermatol

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Plantar vein thrombosis, rarely-reported disease, is usually accompanied by pain and tenderness in the plantar region and should be differentiated from other dermatological conditions causing plantar pain, such as hemorrhagic corn/callus, plantar epidermal cyst, verruca, or plantar fibromatosis. A 52-year-old man presented with a violaceous tender subcutaneous nodule overlying a hyperkeratotic plaque on his sole. Initially, he thought it was a corn and applied keratolytic agents, which failed to work. Sonography revealed a well-demarcated mass with increased peripheral vascularity. His pain was relieved after a complete wide excision, which confirmed the mass to be plantar vein thrombosis after histopathological examination. (Ann Dermatol 31(1) 66∼69, 2019

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Four new cases of isolated foot vein thrombosis: Is the first metatarsal interspace perforator responsible?

Rastel¹

2021

JMV-Journal de Médecine Vasculaire

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Plantar vein thrombosis: a rare differential diagnosis in patients with plantar pain

Cited by 6 publications

References 9 publications

Ultrasound findings in subcutaneous plantar vein thrombosis: retrospective analysis of seven patients

Ultrasound findings in subcutaneous plantar vein thrombosis: retrospective analysis of seven patients

Isolated Plantar Vein Thrombosis Resembling a Corn with a Bruise

Four new cases of isolated foot vein thrombosis: Is the first metatarsal interspace perforator responsible?

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