A Rare Case of Intravascular Fasciitis Misdiagnosed as Deep Venous Thrombosis.
Ann Vasc Surg
; 62: 499.e5-499.e8, 2020 Jan.
Article
em En
| MEDLINE
| ID: mdl-31536792
ABSTRACT
PURPOSE:
This case aimed to explore the clinical, histological, and immunohistochemical features of intravascular fasciitis (IVF) that involve a large blood vessel. CASE REPORT A 27-year-old man presented with swelling and pain of the left lower limb for 5 days. The report of Doppler ultrasonography confirmed deep venous thrombosis (DVT) in the lower left limb (acute phase). However, laboratory value for the presence of D-dimer was negative. Thus, we performed an ascending venography and identified a mass in the common femoral vein. At operation, an incision of the left common femoral vein was made, and the mass was completely resected.CONCLUSIONS:
The situation of IVF that grew in a large vein is extremely rare and can easily be misdiagnosed as DVT. The presence of D-dimer is important for a differential diagnosis. Ascending venography can be applied in making an accurate diagnosis.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Flebografia
/
Ultrassonografia Doppler em Cores
/
Trombose Venosa
/
Extremidade Inferior
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Erros de Diagnóstico
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Fasciite
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Veia Femoral
Tipo de estudo:
Diagnostic_studies
/
Prognostic_studies
Limite:
Adult
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Humans
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Male
Idioma:
En
Ano de publicação:
2020
Tipo de documento:
Article