Related Experiment Video
Updated: Jun 29, 2025
Point-Of-Care Ultrasound Screening for Proximal Lower Extremity Deep Venous Thrombosis
Published on: February 10, 2023
A child with intravascular fasciitis mimicking deep vein thrombosis: a case report
Yeşim Yiğit1, Oğuzhan Erdoğan2, Ayşen Türedi Yıldırım1
1Department of Pediatric Hematology and Oncology, School of Medicine, Manisa Celal Bayar University, Manisa.
Background:
Intravascular fasciitis (IF) is a benign, reactive, myofibroblastic proliferation that originates from the superficial or deep fascia of small / medium-sized arteries and veins.
Case Report:
An 8-year-old male patient was admitted to a health center with the complaint of swelling in the inguinal region. Lower extremity venous Doppler ultrasonography showed deep vein thrombosis (DVT) of the femoral vein and anticoagulation with low-molecular weight heparin (LMWH) was initiated. The patient was referred to our center for follow-up. The D-dimer level was detected within normal limits. Doppler ultrasonography was repeated and showed an intraluminal expanding mass lesion with increasing vascularity, without distinct borders and LMWH was discontinued. This lesion at the sapheno-femoral junction was excised surgically and the histopathological examination revealed intravascular fasciitis.
Conclusion:
Clinicians should be aware that the clinical findings of IF may mimic sarcoma and thrombosis.
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