Severe low back pain as the initial symptom of venous thrombosis

BMJ case reports · Aug 2014

Case Reports

Severe low back pain as the initial symptom of venous thrombosis of the inferior vena cava.

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 3 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.

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- Mohsen Abdul Wahab Tabatabai, Victor Mikhaeel Butros, Shihab Ahmed Mahdi, and Mohammad Javad Ahmad.
- Department of Clinical Faculty, Dubai Health Authority, Bur Dubai, Dubai, United Arab Emirates.
- BMJ Case Rep. 2014 Aug 25; 2014.
AbstractA 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 3 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. 2014 BMJ Publishing Group Ltd.

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Severe low back pain as the initial symptom of venous thrombosis of the inferior vena cava.

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