Unilateral leg swelling: deep vein thrombosis?

Bekou, V.; Galis, D; Traber, Jürg

doi:10.1258/phleb.2009.009055

Cited by 6 publications

(8 citation statements)

References 15 publications

(14 reference statements)

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“…Generally, in patients with HO, limb swelling is mostly localized or near articular areas because of interstitial inflammation or edema of the soft tissue, whereas the most common symptom of DVT is edema of the entire leg. [7][8][9] In our patient, the initial symptoms were diffuse lower limb swelling on the right side and low maximum venous outflow to the segmental venous capacitance. Although no obvious thrombus formation was observed on US examination, a higher level of thrombus formation or stenosis in the iliac vein or common femoral vein could not be ruled out.…”

Section: Discussionmentioning

confidence: 80%

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Heterotopic ossification with femoral vein compression mimicking deep vein thrombosis

Weng

Liu

et al. 2020

Journal of Vascular Surgery Cases, Innovations and Techniques

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Heterotopic ossification (HO) in patients with spinal cord injury could lead to local tissue swelling and sometimes mimic the clinical presentation of deep vein thrombosis. Recognition and effective management is critical. We report the case of a bedridden patient with spinal cord injury presenting with diffuse right lower limb swelling caused by external venous compression from HO. The patient underwent surgery and local radiation therapy. Postoperative venography disclosed a marked improvement in the blood flow, and symptoms were alleviated. We discuss the role of venography in the diagnosis and treatment of venous compression in the setting of HO.

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Section: Discussionmentioning

confidence: 80%

Section: Discussionmentioning

confidence: 99%

Heterotopic ossification with femoral vein compression mimicking deep vein thrombosis

Weng

Liu

et al. 2020

Journal of Vascular Surgery Cases, Innovations and Techniques

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“…A search of the English literature using PubMed, found only eight cases of CFV compression by a ganglion cyst in the groin, including the present case ( Table 1 ). 2 , 4 , 5 , 6 , 7 , 8 The mean age was 57 (2–91) years (3 men and 5 women) and the chief complaints were leg swelling in seven cases except for one case of groin mass in a 2 year old infant. Coexisting deep vein thrombosis or pulmonary embolism was not reported in any of the cases.…”

Section: Discussionmentioning

confidence: 99%

Unilateral Leg Swelling Caused by Common Femoral Vein Compression by a Hip Ganglion Cyst in the Groin

Tsuji¹,

Kitano²,

Matsumoto³

et al. 2016

EJVES Short Reports

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BackgroundAs a rare cause of unilateral leg swelling, extrinsic vein compression caused by intraperitoneal, retroperitoneal, or inguinal lesions has been noted. A rare case of leg swelling as a cause of extrinsic compression of common femoral vein from a ganglion cyst in the groin is presented.Case presentationA 38 year old man was referred with a 3 week history of left leg swelling. Following a radiological diagnosis of common femoral vein compression from a cystic groin mass, he firstly underwent needle aspiration. Although the lesion became somewhat smaller, his left leg was still swollen, and he underwent surgical excision of the lesion 2 days after needle aspiration. Histopathological features of the cystic wall were consistent with those of a ganglion cyst. He was discharged from the hospital with complete improvement of the leg swelling, and has remained free from recurrence 1 year after surgery.ConclusionFemoral vein compression by a ganglion cyst in the groin is a very rare pathology; however, it should be kept in mind in the differential diagnosis of unilateral leg swelling.

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“…In general, edema of the entire leg is the most common clinical signs of an acute DVT. 2) In patients with HO, the swelling is localized or occurs in peri-articular area due to interstitial edema of the soft tissue. 15 16) Therefore, we were initially suspicious of DVT rather than HO because the leg swelling was not focal or limited, but was diffuse through the entire left leg.…”

Section: Discussionmentioning

confidence: 99%

Leg Swelling Caused by Heterotopic Ossification Mimicking Deep Vein Thrombosis in a Paraplegic Patient

Bang

Cho

Lee

2015

Korean J Neurotrauma

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Leg swelling in patients with paraplegia due to spinal cord injury (SCI) occurs for various reasons, including heterotopic ossification (HO), deep vein thrombosis (DVT), fracture, or cellulitis. The clinical presentations of these conditions may overlap in part or in whole and it may occasionally be difficult to distinguish. Of these conditions, DVT and subsequent pulmonary embolism remain significant causes of morbidity and mortality in patients with SCI. Therefore, a prompt diagnostic work-up, particularly for DVT, is essential in patients with SCI, who present with leg swelling. Here, we report a case of leg swelling in a paraplegic patient, resulting from HO mimicking DVT and discuss the differential diagnosis.

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Unilateral leg swelling: deep vein thrombosis?

Abstract: Venous compression due to external cystic lesions, although rare, is recognized. In strange cases this differential diagnosis should also be taken into account. Therapeutic options are the surgical removal or puncture of the cyst.

Cited by 6 publications

References 15 publications

Heterotopic ossification with femoral vein compression mimicking deep vein thrombosis

Heterotopic ossification with femoral vein compression mimicking deep vein thrombosis

Unilateral Leg Swelling Caused by Common Femoral Vein Compression by a Hip Ganglion Cyst in the Groin

Leg Swelling Caused by Heterotopic Ossification Mimicking Deep Vein Thrombosis in a Paraplegic Patient

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