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Deep Vein Thrombus Occurring Immediately After Blunt Abdominal Trauma
Kiyohiro Oshima1, Shuichi Hagiwara, Masato Murata
1From the Departments of *Emergency Medicine, and †Cardiovascular Medicine, Gunma University Graduate School of Medicine, Maebashi, Japan.
Pediatric Emergency Care
|August 5, 2016
Summary
A young patient with blunt abdominal trauma developed deep vein thrombosis (DVT). Successful anticoagulation therapy with heparin and warfarin led to complete resolution of the venous thrombus.
Area of Science:
- Vascular Surgery
- Trauma Surgery
- Hematology
Background:
- Blunt abdominal trauma can lead to serious vascular complications.
- Venous thromboembolism is a rare but significant risk following trauma.
Observation:
- A 13-year-old female presented with blunt abdominal injury.
- Enhanced computed tomography (CT) revealed extensive deep vein thrombosis (DVT) involving the inferior vena cava, iliac, and femoral veins, along with a retroperitoneal hematoma.
Findings:
- Anticoagulant therapy initiated with unfractionated heparin, followed by warfarin.
- Popliteal vein thrombus appeared on day two, necessitating continued anticoagulation.
- Resolution of all thrombi was confirmed by CT at 10 months post-injury.
- The patient was discharged on warfarin and successfully weaned off anticoagulation.
Implications:
- This case highlights the importance of vigilant monitoring for DVT in trauma patients.
- Appropriate and timely anticoagulation is crucial for managing venous thromboembolism after blunt abdominal injury.
- Successful management can lead to complete recovery and prevention of long-term sequelae.
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