Sıradışı Bir Olgu Sunumu: Sağ İliak Ve Femoral Ven Trombüsü

Year 2022, Volume: 5 Issue: 2, 86 - 88, 30.06.2022

Sacit Akdeniz , Bilge Ercan , Yusuf Yurumez , Ensar Durmuş , Necip Gökhan Guner , Veysel Yılmaz

https://doi.org/10.54996/anatolianjem.1077385

Abstract

Amaç: Karın ağrısı, acil servise en sık başvuru nedenleri arasındadır. Karın ağrısı spesifik olmayabilir ve altta yatan nedeni doğru bir şekilde belirleme zorluğunu artırır. Derin ven trombozunun klasik semptomları ödem, kızarıklık, etkilenen bölgede ağrı ve palpasyonda hassasiyettir. Bu olgu sunumunda karın ağrısı şikayeti ile acil servise başvuran genç bir hastada sağ iliak ve femoral vende saptanan trombüsü göstermeyi amaçladık.

Olgu: 18 yaşında kadın hasta son üç gündür şiddetlenen karın ağrısı şikayeti ile acil servise başvurdu. Akut apandisit ve adneksiyal patolojileri dışlamak için abdominal ultrason istendi. Abdominal ultrasonda herhangi bir patoloji saptanmadı. Hastanın obstetrik ve jinekolojik muayenesi sırasında yapılan Doppler ultrasonda sağ femoral vende şüpheli trombüs görüntüsü saptandı ve kontrastlı karın bilgisayarlı tomografisi istendi. Sağ iliak ve femoral venlerde trombüs tespit edilen hasta venöz tromboemboli nedeniyle hastaneye yatırıldı.

Sonuç: Karın ağrısı ile acil servise başvuran tüm hastalarda (genç hastalar dahil) venöz tromboemboli tanısının acil hekimleri için akılda tutulması önemlidir.

Keywords

Acil servis, karın ağrısı, venöz tromboembolizm, doppler, ultrasonografi

An Extraordinary Case Presentation: Right Iliac and Femoral Vein Thrombus

Abstract

Aim: Abdominal pain is among the most common reasons for admission to the emergency department. Abdominal pain may be nonspecific, increasing the difficulty of accurately identifying the underlying cause. The classic symptoms of deep vein thrombosis are edema, redness, pain in the affected area, and tenderness on palpation. This case report aimed to demonstrate the thrombus observed in the right iliac and femoral vein in a young patient who applied to the ED with abdominal pain.

Case: An 18-year-old female patient applied to the emergency department with the complaint of abdominal pain that had worsened for the last three days. Abdominal ultrasound was requested to exclude acute appendicitis and adnexal pathologies. Abdominal ultrasound did not detect any pathology. Doppler ultrasound performed during obstetric and gynecological examination of the patient showed a suspicious thrombus image in the right femoral vein and contrast-enhanced abdominal computed tomography was requested. The patient, who was found to have thrombus in the right iliac and femoral veins, was hospitalized due to venous thromboembolism.

Conclusion: It is important for emergency physicians to keep venous thromboembolism in mind as a diagnosis in all patients (including young patients) presenting with abdominal pain.

Keywords

Emergency room, abdominal pain, venous thromboembolism, doppler, ultrasonography

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