Pelvic vein thrombosis I82.83

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Definition
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Preferably thrombosis of the pelvic veins and also of the leg veins occurring on the left side(pelvic vein spur).

Clinical features
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Often spontaneous pain in the groin, shooting in the leg pain when blowing and pressing. Often typical painful pressure points (early signs of thrombosis, venous pressure test) from the sole of the foot (Payr sign) to the groin (Rielander sign); calf compression pain e.g. after inflation of a blood pressure cuff to 100 mm Hg (Lowenberg test).

Gradual development of unilateral oedema; at the beginning often more elapsed contours in the ankle area. Congested bulging peripheral veins, skin bluish (blue cast), taut, shiny, often overheated, the tissue turgor is increased. In the depth of the calf painful bulging elastic resistance (subfascial edema), in comparison to the sides well palpable. In the advanced stage of venous thrombosis temperature rise (about 38 °C, pulse rate increase).

Therapy
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Disclaimer

Please ask your physician for a reliable diagnosis. This website is only meant as a reference.

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Last updated on: 29.10.2020