Iliofemoral Venous Thrombosis

  • W. P. Paaske


A 72-year-old man was admitted in the late evening because of a turgid, white, painful left leg. Over the course of 4 months, he had lost 8 kg of weight (from 82 to 74 kg); his height was 175 cm. There were general symptoms, such as tiredness, slight nausea, lack of appetite, and increasing apathy. Over the last 12 h, he had been increasingly confused and aggressive. He had been bedridden for 3 weeks but had refused to see a doctor. There was no history of psychiatric disease, focal cerebrovascular events, ischaemic heart disease, hypertension, intermittent claudication, or venous insufficiency. He had been smoking about 20 cigarettes a day since he was 14 years old, and for many years he had had slight functional dyspnoea, but otherwise no pulmonary symptoms. Stools had been light yellow to grey/white for the last week. His renal function had never been examined, and it had not been noticed whether he had passed urine in the last 24 h. Diazepam was the only medication. The history was provided by his wife, who had called the ambulance. Medical records were not available.


Superficial Femoral Artery Venous Insufficiency Magnetic Resonance Venography Inferior Caval Vein Colour Duplex Sonography 
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© Springer-Verlag London 2003

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  • W. P. Paaske

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