Abstract
An acutely swollen, painful calf is usually caused by deep vein thrombosis or pseudo deep vein thrombosis; however, the differential diagnosis and management of these 2 entities can prove difficult and even hazardous unless a careful, systematic approach is used. This article describes the use of 2 invasive techniques (ascending venography and arthrography) and several noninvasive methods (magnetic resonance imaging, computerized axial tomography, and non-Doppler ultrasound) to differentiate between deep vein thrombosis and pseudo deep vein thrombosis. The author discusses a practical, cost-effective approach to diagnosing and managing the acutely swollen, painful calf. (Texas Heart Institute Journal 1989;16:280-6)
Keywords: Deep vein thrombosis
Keywords: pseudo deep vein thrombosis
Keywords: ascending venography
Keywords: arthrography
Keywords: magnetic resonance imaging
Keywords: computerized axial tomography
Keywords: ultrasound
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- Anouchi Y. S., Parker R. D., Seitz W. H., Jr Posterior compartment syndrome of the calf resulting from misdiagnosis of a rupture of the medial head of the gastrocnemius. J Trauma. 1987 Jun;27(6):678–680. doi: 10.1097/00005373-198706000-00016. [DOI] [PubMed] [Google Scholar]
- Ansari A. Acute and chronic pulmonary thromboembolism: current perspectives. Part III: Diagnosis. Clin Cardiol. 1986 Oct;9(10):512–524. doi: 10.1002/clc.4960091008. [DOI] [PubMed] [Google Scholar]
- Dawes P. T., Pattrick M., Green J. Gonococcal arthritis: an unusual presentation as pseudothrombophlebitis. Ann Rheum Dis. 1985 May;44(5):354–355. doi: 10.1136/ard.44.5.354. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Gordon G. V., Edell S., Brogadir S. P., Schumacher H. R., Schimmer B. M., Dalinka M. Baker's cysts and true thrombophlebitis. Report of two cases and review of the literature. Arch Intern Med. 1979 Jan;139(1):40–42. [PubMed] [Google Scholar]
- Haeger K. Problems of acute deep venous thrombosis. I. The interpretation of signs and symptoms. Angiology. 1969 Apr;20(4):219–223. doi: 10.1177/000331976902000406. [DOI] [PubMed] [Google Scholar]
- Kalyanaraman K., Kalyanaraman U. P. Localized myositis presenting as pseudothrombophlebitis. Arthritis Rheum. 1982 Nov;25(11):1374–1377. doi: 10.1002/art.1780251116. [DOI] [PubMed] [Google Scholar]
- Katz R. S., Zizic T. M., Arnold W. P., Stevens M. B. The pseudothrombophlebitis syndrome. Medicine (Baltimore) 1977 Mar;56(2):151–164. doi: 10.1097/00005792-197703000-00005. [DOI] [PubMed] [Google Scholar]
- Mulhern L. M., Pollock B. H. Pseudothrombophlebitis and Behcet's syndrome. Arthritis Rheum. 1982 Apr;25(4):477–478. doi: 10.1002/art.1780250427. [DOI] [PubMed] [Google Scholar]
- Prescott S. M., Pearl J. E., Tikoff G. "Pseudo-pseudothrombophlebitis": ruptured popliteal cyst with deep venous thrombosis. N Engl J Med. 1978 Nov 23;299(21):1192–1193. [PubMed] [Google Scholar]
- Schmidt M. C., Workman J. B., Barth W. F. Dissection or rupture of a popliteal cyst. A syndrome mimicking thrombophlebitis in rheumatic diseases. Arch Intern Med. 1974 Oct;134(4):694–698. [PubMed] [Google Scholar]
- Simpson F. G., Robinson P. J., Bark M., Losowsky M. S. Prospective study of thrombophlebitis and "pseudothrombophlebitis". Lancet. 1980 Feb 16;1(8164):331–333. doi: 10.1016/s0140-6736(80)90883-1. [DOI] [PubMed] [Google Scholar]
- Talbot S. The value of clinical signs of venous thrombosis. Br J Clin Pract. 1975 Sep;29(9):221–226. [PubMed] [Google Scholar]