• Acute medicine · Jan 2011

    Case Reports

    Preventing deaths in ambulatory care from isolated pelvic vein deep vein thrombosis: Mortality and Mortality meetings have a key role.

    • J Wileman.
    • ST5 Acute Medicine, Southampton University Hospital Trust, UK.
    • Acute Med. 2011 Jan 1; 10 (2): 83-4.

    AbstractIsolated 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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