Deep vein thrombosis in the thigh: MR imaging in two cases with atypical presentations.

Skeletal Radiol

Department of Orthopedic Surgery, Daejeon St. Mary's Hospital, The Catholic University of Korea, Daejeon, Republic of Korea.

Published: July 2022

AI Article Synopsis

  • Deep vein thrombosis (DVT) is a significant health issue that often occurs in the legs and requires quick imaging for diagnosis and treatment.
  • Patients without known risk factors for DVT might receive misdiagnoses related to muscle disorders rather than DVT.
  • This report presents two unusual cases where thigh MR imaging helped identify DVT, emphasizing the importance of recognizing certain imaging patterns to distinguish DVT from other conditions.

Article Abstract

Deep vein thrombosis (DVT) is a common clinical problem affecting the lower extremities. Prompt imaging of suspected DVT is helpful for rapid diagnosis and proper treatment. However, patients without clear predisposing factors for DVT may be directed to alternative diagnoses of a musculoskeletal disorder. The few case reports and studies of magnetic resonance (MR) imaging of unsuspected DVT are limited to the calf and knee. Here, we report two cases with a rare presentation of thigh MR imaging of unsuspected DVT. Identifying branching, abnormal intraluminal signals on fluid-sensitive imaging, or rim-enhancing tubular structures within the edema of the thigh muscle is important for differentiating intramuscular DVT from other thigh pathologies.

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Source
http://dx.doi.org/10.1007/s00256-021-03974-7DOI Listing

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