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Contrast-enhanced sonographic diagnosis of unsuspected internal iliac vein thrombosis

✍ Scribed by Thomas de Perrot; Marc Righini; Henri Bounameaux; Pierre-Alexandre Poletti


Publisher
John Wiley and Sons
Year
2011
Tongue
English
Weight
466 KB
Volume
39
Category
Article
ISSN
0091-2751

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✦ Synopsis


Abstract

We report a rare case of an isolated and unsuspected thrombosis in the right internal iliac vein. The presentation was atypical with regard to the clinical manifestations and the thrombus location. The patient was admitted for an acute abdominal pain in the right iliac fossa. The thrombosis was suspected on the basis of a portal‐phase contrast‐enhanced abdominal CT but the lack of a delayed phase did not allow confirmation. Contrast‐enhanced ultrasound confirmed the diagnosis, by displaying a well‐defined filling defect. © 2011 Wiley Periodicals, Inc. J Clin Ultrasound, 2011;