AI Article Synopsis
- A 32-year-old woman experienced severe foot pain after a demanding night shift at the hospital, leading her to seek help in the emergency department.
- Examinations revealed swelling and pain in her right foot, with MRI and Doppler sonography indicating a plantar vein thrombosis.
- She was treated with low-molecular-weight heparin and elastic bandages, and follow-up showed her veins were completely clear, marking this as an unusual case of thrombosis not linked to trauma, surgery, or cancer.
Article Abstract
A 32-year-old woman with severe foot pain came to our emergency department after a busy night duty in hospital followed by an extended sleep period. Physical examination revealed a discrete swelling of the medial aspect of the right foot and a painful plantar arch during digital examination. Magnetic resonance imaging (MRI) with intravenous gadolinium showed filling defects in the lateral plantar vein. Doppler sonography displayed noncompressible structures in the plantar veins without flow signals, suggesting a plantar vein thrombosis. Therapy was initiated with low-molecular-weight heparin in combination with customized elastic bandages for the lower leg. Follow-up sonography 6 weeks later showed complete patency of the plantar veins. To our knowledge, we present the first case of isolated plantar vein thrombosis independent of trauma, surgery, or malignant disease, most probably caused by a busy night duty on the intensive care unit (ICU) followed by a prolonged sleeping period.
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| http://dx.doi.org/10.1177/1076029609351878 | DOI Listing |
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