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Updated: Oct 1, 2026

Point-Of-Care Ultrasound Screening for Proximal Lower Extremity Deep Venous Thrombosis
06:45

Point-Of-Care Ultrasound Screening for Proximal Lower Extremity Deep Venous Thrombosis

Published on: February 10, 2023

Ultrasound images of thrombosis of caval vein inferior--three selected cases

M Wielosz1, E Dybiec, A Brodzisz

  • 1Department of Pediatric Radiology, Medical University of Lublin.

Annales Universitatis Mariae Curie-Sklodowska. Sectio D: Medicina
|April 30, 2002
PubMed

Insights

Inferior vena cava thrombosis, a complication of various diseases, often presents with ambiguous signs. Early diagnosis using ultrasound techniques like Color Doppler and Power Doppler is crucial for timely treatment in pediatric cases.

Area of Science:

  • Vascular Medicine
  • Pediatric Thrombosis
  • Diagnostic Imaging

Background:

  • Inferior vena cava (IVC) thrombosis is a serious condition that can arise from diverse underlying pathologies.
  • The clinical presentation of IVC thrombosis is frequently nonspecific, leading to diagnostic delays and suboptimal patient outcomes.
  • Prompt diagnosis and management are essential to prevent severe complications.

Observation:

  • This report details three pediatric cases of IVC thrombosis.
  • Case 1 involved extensive burns, Case 2 presented with Budd-Chiari syndrome, and Case 3 was associated with prolonged indwelling vascular catheters.
  • These diverse etiologies highlight the varied clinical scenarios leading to IVC thrombosis in children.

Findings:

  • Ultrasound, including B-mode, Color Doppler, and Power Doppler, proved instrumental in achieving early and accurate diagnosis.
  • These imaging modalities facilitated the identification of thrombus formation within the inferior vena cava across all presented cases.
  • The diagnostic utility of Doppler ultrasound in pediatric IVC thrombosis is clearly demonstrated.

Implications:

  • Early detection of IVC thrombosis through advanced ultrasound techniques enables prompt initiation of appropriate therapeutic interventions.
  • Improved diagnostic strategies can significantly reduce treatment delays and mitigate the risk of associated morbidities in pediatric patients.
  • This case series underscores the importance of considering IVC thrombosis in pediatric patients with risk factors and utilizing Doppler ultrasound for timely diagnosis.

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