Cargando…

Occult Iliac Deep Vein Thrombosis in Second Trimester Pregnancy: Clues on Bedside Ultrasound

Isolated pelvic deep vein thromboses (DVT) are rare and difficult to diagnose, but they are more common in pregnant women and carry an increased risk of embolization. Pulmonary embolism is the most common non-obstetric cause of death in pregnancy. Compression ultrasound is the first-line imaging tes...

Descripción completa

Detalles Bibliográficos
Autores principales: Avula, Roopa, Niemann, Michael, Dorinzi, Nicole, Robinson, Kristine, Sharon, Melinda, Minardi, Joseph
Formato: Online Artículo Texto
Lenguaje:English
Publicado: University of California Irvine, Department of Emergency Medicine publishing Western Journal of Emergency Medicine 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5965165/
https://www.ncbi.nlm.nih.gov/pubmed/29849283
http://dx.doi.org/10.5811/cpcem.2017.1.33536
_version_ 1783325308348268544
author Avula, Roopa
Niemann, Michael
Dorinzi, Nicole
Robinson, Kristine
Sharon, Melinda
Minardi, Joseph
author_facet Avula, Roopa
Niemann, Michael
Dorinzi, Nicole
Robinson, Kristine
Sharon, Melinda
Minardi, Joseph
author_sort Avula, Roopa
collection PubMed
description Isolated pelvic deep vein thromboses (DVT) are rare and difficult to diagnose, but they are more common in pregnant women and carry an increased risk of embolization. Pulmonary embolism is the most common non-obstetric cause of death in pregnancy. Compression ultrasound is the first-line imaging test for suspected lower extremity DVT, but it cannot usually aid in directly visualizing or easily diagnosing isolated pelvic DVT. Nonetheless, point-of-care ultrasound (POCUS) may provide valuable clues to help rule in pelvic DVT and expedite initiation of anticoagulant therapy. Such findings include increased venous diameter, increased resistance to compression, visible venous reflux, and blunted phasicity. This case presents an example of how these findings on POCUS led the emergency physician to make the difficult diagnosis of pelvic DVT at the bedside within seconds.
format Online
Article
Text
id pubmed-5965165
institution National Center for Biotechnology Information
language English
publishDate 2017
publisher University of California Irvine, Department of Emergency Medicine publishing Western Journal of Emergency Medicine
record_format MEDLINE/PubMed
spelling pubmed-59651652018-05-30 Occult Iliac Deep Vein Thrombosis in Second Trimester Pregnancy: Clues on Bedside Ultrasound Avula, Roopa Niemann, Michael Dorinzi, Nicole Robinson, Kristine Sharon, Melinda Minardi, Joseph Clin Pract Cases Emerg Med Case Report Isolated pelvic deep vein thromboses (DVT) are rare and difficult to diagnose, but they are more common in pregnant women and carry an increased risk of embolization. Pulmonary embolism is the most common non-obstetric cause of death in pregnancy. Compression ultrasound is the first-line imaging test for suspected lower extremity DVT, but it cannot usually aid in directly visualizing or easily diagnosing isolated pelvic DVT. Nonetheless, point-of-care ultrasound (POCUS) may provide valuable clues to help rule in pelvic DVT and expedite initiation of anticoagulant therapy. Such findings include increased venous diameter, increased resistance to compression, visible venous reflux, and blunted phasicity. This case presents an example of how these findings on POCUS led the emergency physician to make the difficult diagnosis of pelvic DVT at the bedside within seconds. University of California Irvine, Department of Emergency Medicine publishing Western Journal of Emergency Medicine 2017-05-09 /pmc/articles/PMC5965165/ /pubmed/29849283 http://dx.doi.org/10.5811/cpcem.2017.1.33536 Text en © 2017 Avula et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) License. See: http://creativecommons.org/licenses/by/4.0/
spellingShingle Case Report
Avula, Roopa
Niemann, Michael
Dorinzi, Nicole
Robinson, Kristine
Sharon, Melinda
Minardi, Joseph
Occult Iliac Deep Vein Thrombosis in Second Trimester Pregnancy: Clues on Bedside Ultrasound
title Occult Iliac Deep Vein Thrombosis in Second Trimester Pregnancy: Clues on Bedside Ultrasound
title_full Occult Iliac Deep Vein Thrombosis in Second Trimester Pregnancy: Clues on Bedside Ultrasound
title_fullStr Occult Iliac Deep Vein Thrombosis in Second Trimester Pregnancy: Clues on Bedside Ultrasound
title_full_unstemmed Occult Iliac Deep Vein Thrombosis in Second Trimester Pregnancy: Clues on Bedside Ultrasound
title_short Occult Iliac Deep Vein Thrombosis in Second Trimester Pregnancy: Clues on Bedside Ultrasound
title_sort occult iliac deep vein thrombosis in second trimester pregnancy: clues on bedside ultrasound
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5965165/
https://www.ncbi.nlm.nih.gov/pubmed/29849283
http://dx.doi.org/10.5811/cpcem.2017.1.33536
work_keys_str_mv AT avularoopa occultiliacdeepveinthrombosisinsecondtrimesterpregnancycluesonbedsideultrasound
AT niemannmichael occultiliacdeepveinthrombosisinsecondtrimesterpregnancycluesonbedsideultrasound
AT dorinzinicole occultiliacdeepveinthrombosisinsecondtrimesterpregnancycluesonbedsideultrasound
AT robinsonkristine occultiliacdeepveinthrombosisinsecondtrimesterpregnancycluesonbedsideultrasound
AT sharonmelinda occultiliacdeepveinthrombosisinsecondtrimesterpregnancycluesonbedsideultrasound
AT minardijoseph occultiliacdeepveinthrombosisinsecondtrimesterpregnancycluesonbedsideultrasound