J Korean Radiol Soc.  1987 Apr;23(2):221-228. 10.3348/jkrs.1987.23.2.221.

Deep vein thrombosis of the leg

• Lee EH
• Rhee KW
• Jeon SC
• Joo KB
• Lee SR
• Seo HS
• Hahm CK

• KMID: 2359630
• DOI: http://doi.org/10.3348/jkrs.1987.23.2.221

Abstract

Ascending contrast venography is the definitive standard method for the diagnosis of deep vein thrombosis(DVT)of the lower extremities. Authors analysed 22 cases of DVT clinically and radiographically. 1. The patients rangedin age from 15 to 70 yrs and the most prevalent age group was 7th decade(31%). There was an equal distribution ofmales and females. 2. In 11 cases of 22 cases, variable etiologic factors were recognized, such as abdominalsurgery. chronic bedridden state, local trauma on the leg, pregnancy, postpartum, Behcet;s syndrome, iliac arteryaneurysm, and chronic medication of estrogen. 3. Nineteen cases out of 22 cases showed primary venographic signsof DVT, such as well-defined filling defect in opacified veins and narrowed, irregularly filled venous lumen. Inonly 3 cases, the diagnosis of DVT was based upon the segmental nonvisualization of deep veins with goodopacification of proximal and distal veins and presence of collaterals. 4. Extent of thrombosis: 3 cases wereconfined to calf vein, 4 cases extended to femoral vein, and 15 cases had involvement above iliac vein. 5. In 17cases involving relatively long segment of deep veins, propagation pattern of thrombus was evaluated by itsradiographic morphology according to the age of thrombus: 9 cases suggested central or antegrade progagationpattern and 8 cases, peripheral or retrograde pattern. 6. None of 22 cases showed clinical evidence of pulmonaryembolism. The cause of the rarity of pulmonary embolism in Korean in presumed to be related to the defference inmajor involving site and propagation pattern of DVT in the leg.

MeSH Terms

Diagnosis
Estrogens
Female
Femoral Vein
Humans
Iliac Vein
Leg*
Lower Extremity
Methods
Phlebography
Postpartum Period
Pregnancy
Pulmonary Embolism
Thrombosis
Veins
Venous Thrombosis*
Estrogens