Int J Angiol 2021; 30(02): 173-174
DOI: 10.1055/s-0040-1721805
Letter to the Editor

The Swollen Calf of Reperfusion Injury

An Addition to the Spectrum of Pseudothrombophlebitis
Jochanan E. Naschitz
1   Bait Balev Nesher and The Ruth and Bruce Rappaport Faculty of Medicine, Israel Institute of Technology, Technion, Haifa, Israel
› Institutsangaben

Unilateral calf pain and swelling are suggestive of deep vein thrombosis (DVT) but may also result from muscle or tendon tear, Baker's cyst, soft tissue infection, and inflammation.[1] [2] [3] To distinguish mimickers from DVT, the term pseudothrombophlebitis is used, meant to avoid potential harm from anticoagulant treatment, and foster disease-specific management. We describe pseudothrombophlebitis in the followings of iliac artery thrombosis, thromboendarterectomy, and rhabdomyolysis of calf muscles. Awareness to this rare occurrence is warranted.



Publikationsverlauf

Artikel online veröffentlicht:
21. Januar 2021

© 2021. International College of Angiology. This article is published by Thieme.

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  • References

  • 1 Katz RS, Zizic TM, Arnold WP, Stevens MB. The pseudothrombophlebitis syndrome. Medicine (Baltimore) 1977; 56 (02) 151-164
  • 2 Kabeya Y, Tomita M, Katsuki T, Meguro S, Atsumi Y. Pseudothrombophlebitis. Intern Med 2009; 48 (21) 1927
  • 3 Daniel A, Eugénio G, Silva J, da Silva J. Unilateral calf hypertrophy and radiculopathy: an unusual association. BMJ Case Rep 2016; 2016: bcr2016217744
  • 4 Zutt R, van der Kooi AJ, Linthorst GE, Wanders RJ, de Visser M. Rhabdomyolysis: review of the literature. Neuromuscul Disord 2014; 24 (08) 651-659
  • 5 Naschitz JE, Yeshurun D, Abrahamson J. Arterial occlusive disease in occult cancer. Am Heart J 1992; 124 (03) 738-745
  • 6 Brenner B, Bikdeli B, Tzoran I. et al; RIETE Investigators. Arterial ischemic events are a major complication in cancer patients with venous thromboembolism. Am J Med 2018; 131 (09) 1095-1103
  • 7 Leow KS, Chew KM, Chawla A, Lim TC. Sonographic assessment of musculoskeletal causes of calf pain and swelling. Emerg Radiol 2019; 26 (03) 349-359
  • 8 Beaulieu RJ, Grimm JC, Hassoun HT. Ischemia-reperfusion. Rutherford Vasc Surg Endovasc Therap 2019; 6: 64-71
  • 9 Melli G, Chaudhry V, Cornblath DR. Rhabdomyolysis: an evaluation of 475 hospitalized patients. Medicine (Baltimore) 2005; 84 (06) 377-385
  • 10 Tiwari A, Haq AI, Myint F, Hamilton G. Acute compartment syndromes. Br J Surg 2002; 89 (04) 397-412
  • 11 Anema JG, Morey AF, McAninch JW, Mario LA, Wessells H. Complications related to the high lithotomy position during urethral reconstruction. J Urol 2000; 164 (02) 360-363
  • 12 Nakamura K, Aoki H, Hirakawa T, Murata T, Kanuma T, Minegishi T. Compartment syndrome with thrombosis of common iliac artery after gynecologic surgery. Obstet Gynecol 2008; 112 (2 Pt 2): 486-488