Clinical Case: Massive Lower Extremity DVT Treated with Thrombolysis

20 yo CM is admitted to the hospital with RLE pain for 1 week. The pain started when he was jumping on a trampoline and he thinks that he might have twisted his ankle. Two days later he noted swelling of his right leg, which is getting progressively worse.

He was admitted to a hospital and a Duplex of RLE showed a large DVT extending from the ankle to the femoral vein in the groin area. Heparin IV was started, overlapped with Coumadin 2 days later.

What happened?
Five days later, the RLE pain is the same or worse, and the circumference of the leg increased despite the anticoagulation treatment.

Read more on ClinicalCases.org....

Image source: Gray's Anatomy 1918, public domain

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