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Venous Thrombosis I: Introduction01:30

Venous Thrombosis I: Introduction

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Venous thrombosis, the most common disorder of the veins, involves the formation of a thrombus or blood clot associated with vein inflammation. It can be classified as either superficial vein thrombosis or deep vein thrombosis.Superficial Vein Thrombosis: This involves the formation of a thrombus in a superficial vein, usually the greater or lesser saphenous vein. Though less severe than deep vein thrombosis (DVT), SVT can lead to complications if untreated.Deep Vein Thrombosis (DVT): This...
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Veins of the Abdomen and Pelvis01:18

Veins of the Abdomen and Pelvis

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The human body is a complex system of interconnected parts, and the circulatory system plays a crucial role in maintaining overall health. One key component of this system is the inferior vena cava, a large vein responsible for returning blood from the abdominopelvic viscera and abdominal walls to the heart.
The inferior vena cava is fed by numerous smaller veins. The lumbar veins, for instance, drain the posterior abdominal wall, emptying both directly into the inferior vena cava and into the...
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Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies01:20

Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies

438
The key difference between Superficial Vein Thrombosis (SVT) and Deep Vein Thrombosis (DVT) lies in their location and severity.Clinical ManifestationsSVT typically presents with localized pain, tenderness, and redness along the course of a superficial vein, often accompanied by a palpable, cord-like structure under the skin. This condition is usually less dangerous than DVT but can be uncomfortable and may lead to complications such as cellulitis or, rarely, a clot extension into the deep...
438
Varicose Veins I: Introduction01:26

Varicose Veins I: Introduction

336
Varicose veins, or varicosities, are abnormally dilated and twisted superficial veins caused by venous valve incompetence. This condition commonly affects the lower extremities, especially the saphenous veins, due to the higher pressure from prolonged standing and walking. However, varicosities can also occur in other areas, such as the esophagus, vulva, spermatic cords, and anorectal region.Etiology and typesPrimary varicose veins, often idiopathic, are more common in women due to inherent...
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Assessment of the Rectum and Anus01:25

Assessment of the Rectum and Anus

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Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
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Assessment of the Cardiovascular System III: Palpation01:27

Assessment of the Cardiovascular System III: Palpation

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Palpation involves feeling the body to evaluate texture, size, consistency, and tenderness for assessing cardiovascular health. The following steps are organized in a head-to-toe order:
Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above...
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Related Experiment Video

Updated: Mar 31, 2026

Anogenital Distance and Perineal Measurements of the Pelvic Organ Prolapse POP Quantification System
03:49

Anogenital Distance and Perineal Measurements of the Pelvic Organ Prolapse POP Quantification System

Published on: September 20, 2018

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Fecal Impaction Causing Pelvic Venous Compression and Edema.

Sara Naramore1, Faisal Aziz2, Chandran Paul Alexander3

  • 1Department of Pediatrics, Penn State Milton S Hershey Medical Center , PA, USA.

Pediatric Reports
|October 27, 2015
PubMed
Summary
This summary is machine-generated.

Severe fecal impaction in a child caused pelvic venous compression, leading to leg and perineal edema. Treatment with disimpaction and laxatives resolved the edema and constipation.

Keywords:
Pedal edemaconstipationduplex ultrasoundfecal impactionpolyethylene glycol 3350 with electrolytes

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Area of Science:

  • Pediatric Gastroenterology
  • Vascular Medicine

Background:

  • Chronic constipation is a prevalent condition in children, potentially leading to severe fecal impaction.
  • Fecal impaction can present with complex symptoms beyond gastrointestinal distress.

Observation:

  • A 13-year-old male with chronic constipation and encopresis developed a three-week fecal impaction.
  • The impaction caused severe abdominal pain, distension, encopresis, decreased oral intake, and bilateral pedal and perineal edema.
  • Edema worsened with fluid administration, raising concerns for venous compression or thrombosis.

Findings:

  • Duplex Ultrasound revealed altered venous waveforms in the external iliac and common femoral veins, but no thrombosis.
  • Manual disimpaction and treatment with polyethylene glycol 3350 and electrolytes successfully resolved the edema.
  • Follow-up showed resolution of constipation and edema, with normal venous Doppler studies.

Implications:

  • Severe fecal impaction can precipitate pelvic venous compression syndrome in pediatric patients.
  • This case highlights the importance of considering extragastrointestinal complications of severe constipation.
  • Prompt recognition and management of fecal impaction are crucial to prevent serious sequelae like venous compromise.