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

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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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References

  1. Karande GY, Hedgire SS, Sanchez Y, et al. Advanced imaging in acute and chronic deep vein thrombosis. Cardiovasc Diagn Ther. 2016;6(6):493–507.

    Article  Google Scholar 

  2. Katz DS, Hon M, et al. Current DVT imaging. Tech Vasc Interv Radiol. 2004;7(2):55–62.

    Article  Google Scholar 

  3. Katz DS, Fauauff KF, Kranz AO, Hon M. Imaging of deep venous thrombosis: a multimodality overview. Appl Radiol. 2014;43(3):6–16.

    Article  Google Scholar 

  4. Parellada AJ, Morrison WB, Reiter SB, et al. Unsuspected lower extremity deep venous thrombosis simulating musculoskeletal pathology. Skeletal Radiol. 2006;35(9):659–64.

    Article  Google Scholar 

  5. Duncan DP, Taddonio M, Chang EY, Huang BK. Characterization of intramuscular calf vein thrombosis on routine knee MRI. Skeletal Radiol. 2019;48(10):1573–80.

    Article  Google Scholar 

  6. Shulman RM, Buchan C, Bleakney RR, White LM. Low prevalence of unexpected popliteal DVT detected on routine MRI. Clin Imaging. 2016;40(1):79–85.

    Article  Google Scholar 

  7. Liu PT, Ilaslan H. Unicompartmental muscle edema: an early sign of deep venous thrombosis. Skeletal Radiol. 2003;32(1):41–5.

    Article  Google Scholar 

  8. Smitaman E, Flores DV, Mejía Gómez C, Pathria MN. MR imaging of atraumatic muscle disorders. Radiographics. 2018;38(2):500–22.

    Article  Google Scholar 

  9. Duewell S, Hagspiel KD, Zuber J, von Schulthess GK, Bollinger A, Fuchs WA. Swollen lower extremity: role of MR imaging. Radiology. 1992;184:227–31.

    Article  CAS  Google Scholar 

  10. Revelon G, Rahmouni A, Jazaerli N, et al. Acute swelling of the limbs: magnetic resonance pictorial review of fascial and muscle signal changes. Eur J Radiol. 1999;30:11–21.

    Article  CAS  Google Scholar 

  11. Ghaye B, Szapiro D, Willems V, Dondelinger RF. Pitfalls in CT venog raphy of lower limbs and abdominal veins. AJR Am J Roentgenol. 2002;178:1465–71.

    Article  CAS  Google Scholar 

  12. Papastergiou SG, Koukoulias NE, Tsitouridis I, Natsis C, Parisis CA. Circumflex femoral vein thrombosis misinterpreted as acute hamstring strain. Br J Sports Med. 2007;41(7):460–1.

    Article  Google Scholar 

  13. Meissner MH. Lower extremity venous anatomy. Semin Intervent Radiol. 2005;22(3):147–56.

    Article  Google Scholar 

  14. Stark DD, Bradley WG. Magnetic Resonance Imaging, 2nd edn. St Louis: Mosby, 1992:257–75.

  15. Froehlich JB, Prince MR, Greenfield LJ, Downing LJ, Shah NL, Wakefield TW. “Bull’s-eye” sign on gadolinium enhanced magnetic resonance venography determines thrombus presence and age: a preliminary study. J Vasc Surg. 1997;26:809–16.

    Article  CAS  Google Scholar 

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Authors and Affiliations

  1. Department of Radiology, Daejeon St. Mary’s Hospital, The Catholic University of Korea, 64 Daeheung-ro, Chung-gu, Daejeon, Republic of Korea, 34943

    Yeon Soo Lee & Jichang Kim

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

    Jae Jung Jeong

Authors
  1. Yeon Soo Lee
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  2. Jichang Kim
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  3. Jae Jung Jeong
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Correspondence to Yeon Soo Lee.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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The authors declare no competing interests.

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Lee, Y.S., Kim, J. & Jeong, J.J. Deep vein thrombosis in the thigh: MR imaging in two cases with atypical presentations. Skeletal Radiol 51, 1511–1516 (2022). https://doi.org/10.1007/s00256-021-03974-7

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  • DOI: https://doi.org/10.1007/s00256-021-03974-7

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