RESUMO
A 45-year-old previously well male truck driver presented to the emergency department with severe low back pain; lumbosacral X-ray was normal and he was given analgaesics and discharged. The following day, he presented to the emergency department again, his pain had not responded to the analgaesics; this time he also presented with massive bilateral swelling of lower limbs and left testicle that started 3â h earlier. The pain was severe, dull and interfered with the patient's ability to walk. An urgent workup revealed extensive thrombosis of the inferior vena cava.
Assuntos
Dor Lombar/etiologia , Terapia Trombolítica/métodos , Veia Cava Inferior , Trombose Venosa/complicações , Diagnóstico Diferencial , Fibrinolíticos/uso terapêutico , Humanos , Dor Lombar/diagnóstico , Masculino , Pessoa de Meia-Idade , Medição da Dor , Índice de Gravidade de Doença , Tomografia Computadorizada por Raios X , Ultrassonografia Doppler , Trombose Venosa/diagnóstico , Trombose Venosa/tratamento farmacológicoRESUMO
A previously healthy 27-year-old Nepalese man presented with a history of direct low-impact direct trauma to the left leg. An x-ray was performed in a private hospital and he was referred to our emergency department for the management of a possible foreign body in the left leg. X-ray of the left leg showed a single, small, 'cigar-shaped' calcified lesion in the posterior aspect of the left leg. There was an inconsistency between the injury and x-ray finding. As the patient originated from a region endemic in Taenia solium, a clinical suspicion for cysticercosis was raised. The patient was then sent for a skeletal survey which subsequently confirmed our diagnosis.