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[Deep leg vein thrombosis during skiing. A case report]
Summary
Deep vein thrombosis (DVT) in the leg can occur during skiing without direct injury. This case suggests "effort thrombosis" as a diagnosis when no other causes are found.
Area of Science:
- Sports Medicine
- Vascular Surgery
- Diagnostic Imaging
Background:
- Deep vein thrombosis (DVT) is a serious condition often linked to immobility or trauma.
- Identifying the etiology of DVT is crucial for appropriate management and prevention.
Observation:
- An active individual developed leg deep vein thrombosis while skiing.
- The thrombosis occurred without any reported direct physical trauma to the affected limb.
Findings:
- Diagnostic workup excluded vascular malformations as a cause.
- Coagulation disorder screening was negative, ruling out inherited or acquired thrombophilias.
- The clinical presentation strongly supports a diagnosis of effort thrombosis, also known as "thrombose par effort".
Implications:
- This case highlights that strenuous physical activity, even without direct trauma, can precipitate DVT.
- Effort thrombosis should be considered in the differential diagnosis of DVT in athletes or individuals engaged in intense physical exertion.
- Further research into the mechanisms and risk factors for effort thrombosis in athletes is warranted.