Related Experiment Video
Updated: Jan 3, 2026
06:45
Point-Of-Care Ultrasound Screening for Proximal Lower Extremity Deep Venous Thrombosis
Published on: February 10, 2023
15.6K
Deep Vein Thrombosis Due to Fecal Impaction
Kasen Culler1, Preston Eiswirth1, James Donaldson2
1Northwestern University Feinberg School of Medicine.
Journal of Pediatric Hematology/Oncology
|November 26, 2019
Summary
Severe fecal impaction can cause deep vein thrombosis (DVT) in adolescents due to external iliac vein compression. This rare case highlights the critical need to consider fecal impaction in pediatric DVT evaluations.
Area of Science:
- Vascular Surgery
- Pediatric Gastroenterology
- Radiology
Background:
- Deep vein thrombosis (DVT) is often linked to mechanical compression syndromes like May-Thurner syndrome.
- DVT secondary to fecal impaction is exceptionally rare, particularly in pediatric cases.
Observation:
- An 18-year-old female with developmental delay presented with left lower extremity swelling.
- Imaging revealed a large stool burden in the rectosigmoid colon compressing the left external iliac vein.
- This compression led to secondary deep vein thrombosis.
Findings:
- Successful thrombectomy resolved the deep vein thrombosis.
- The underlying cause was mechanical compression from severe fecal impaction.
Implications:
- Severe fecal impaction can have serious vascular consequences in pediatric and adolescent patients.
- This case emphasizes the importance of considering fecal impaction in the differential diagnosis of pediatric DVT.
- Early recognition and management of fecal impaction are crucial to prevent severe complications.
Related Concept Videos
01:30Venous Thrombosis I: Introduction
230
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...
230
01:20Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies
252
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...
252
01:29Venous Thrombosis III: Interprofessional Care
245
Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
245
01:29Pulmonary Embolism I: Introduction
442
Pulmonary embolism (PE) occurs when a thrombus, fat or air embolus, amniotic fluid, or tumor tissue blocks one or more pulmonary arteries. These blockages originate in the venous system or the right side of the heart.EtiologyPE primarily arises from deep vein thrombosis (DVT) and other hypercoagulable states, such as inherited thrombophilias. Additional etiological factors include venous stasis, commonly seen in obesity, and endothelial injury from surgery and trauma. Less common causes include...
442
01:29Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care
254
Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...
254
01:25Assessment of the Rectum and Anus
998
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,...
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
998