Abstract
In 21 patients who had lower extremity swelling and negative venography, radiographic evaluation was extended to include computerized tomography (CT) of the lower extremity, which we have termed venography-CT, or VCT. All patients were referred with the diagnosis of deep vein thrombosis (DVT) and no patient had a history of trauma. CT was effective in demonstrating two occult mechanisms of lower extremity swelling: knee joint effusion (three patients) and intramuscular hemorrhage (five patients). Selective utilization of CT in the evaluation of lower extremity swelling is effective in directing the clinical management of these patients.
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References
Rabinov K, Paulin S (1972) Roentgen diagnosis of venous thrombosis in the leg. Arch Surg 104:134–144
Viamonte M, Jr, Koolpe H, Janowitz W, Hildner F (1980) Pulmonary thromboembolism—update. JAMA 243:2229–2234
Kakkar VV, Corrigan TP (1974) Detection of deep vein thrombosis: Survey and current status. Prog. Cardiovasc. Dis. 17:207–217
Barnes RW (1975) Fallibility of clinical diagnosis of DVT. JAMA 234:605–607
Robin ED (1977) Overdiagnosis and overtreatment of pulmonary embolism: The emperor may have no clothes. Ann Intern Med 87:775–781
Vine HS, Hillman B, Hessel S (1981) Deep venous thrombosis: Predictive value of signs and symptoms. AJR 135:167–171
Pillari G, Kumari S, Phillips G, Cruz V, Pochaczevsky R, Marc J (1981) Computed tomography in ilcofemoral venous thrombosis: Extension to inferior vena cava defined with foot vein infusion. J. Comp. Assist. Tomogr 5(3):375–377
Kilcoyne RF, Imray TJ, Stewart ET (1978) Ruptured Baker's cyst simulating acute thrombophlebitis. JAMA 240:1517–1518
Levitin PM, Keats TE (1975) Dissecting synovial cyst of the popliteal space in gout. AJR 124:32–33
Wakano KK (1978) Entrapment neuropathy from Baker's cyst. JAMA 239:135
Guerra J, Jr, Newell JD, Resnick D, Danzig LA (1981) Gastrocnemio-semimembranosus bursal region of the knee. AJR 136:593–596
Swensen SJ, McLeod RA, Stephens DH (1984) CT of extracranial hemorrhage and hematomas. AJR 143:907–912
Wolverson MK, Crepps LF, Sundaram M, Heiberg E, Vas WG, Shields JB (1983) Hyperdensity of recent hemorrhage at body computed tomography: Incidence and morphologic variation, Radiology 148:779–784
New PFJ, Aronow S (1976) Attenuation measurements of whole blood and blood fractions in computed tomography. Radiology 121:635–640
Adar R, Salzman EDL (1975) Treatment of thrombosis of veins of the lower extremities. N. Engl. J. Med. 292348–350
Mant MJ, Thong KL, Birtwhistle RV, O'Brien BD, Hammond GW, Grace MG (1977) Haemorrhagic complications of heparin therapy. Lancet X:1133–1135.
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Pillari, G., Zito, J., Chang, J.B. et al. Lower extremity swelling: Computerized tomography following negative venography. Cardiovasc Intervent Radiol 10, 261–263 (1987). https://doi.org/10.1007/BF02578005
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DOI: https://doi.org/10.1007/BF02578005