Preventing deaths in ambulatory care from isolated pelvic vein deep vein thrombosis: Mortality and Mortality meetings have a key role
Wileman, J.
Acute Medicine 10(2): 83-84
2011
ISSN/ISBN: 1747-4884 PMID: 22041608 Document Number: 14322
Isolated Pelvic vein Deep Venous Thrombosis (DVT) is a relatively rare phenomenon, but is usually not identified by conventional lower limb duplex Ultrasound scanning. We present two cases of isolated iliac vein thrombosis; the first resulting in the patient's death from Pulmonary Embolism (PE) after normal lower limb duplex scan. The second case was identified and successfully treated after introduction of a revised investigation algorithm following the first case. The literature supports the use of magnetic resonance imaging, CT venography, or ascending venography, to diagnose this condition.
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