Heterotopic ossification and deep venous thrombosis: concurrence (?), bleeding complications, and caval interruption.
Diagnosis and treatment of apparent deep venous thrombosis in a patient with spinal cord injury can be difficult. Heterotopic ossification in the paralyzed limbs of such patients can mimic deep venous thrombosis and can even produce false-positive findings on venograms. Anticoagulation, in turn, can be associated with soft tissue hemorrhage that may resemble thrombophlebitis and further confound interpretation of venograms. We have presented a case in which all these phenomena were present and in which a remaining risk of embolism was successfully managed through placement of a Greenfield filter.
Gutknecht
D R
DR
Department of General Internal Medicine, Geisinger Medical Center, Danville, PA 17822.
D000328:Adult; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D009999:Ossification, Heterotopic / Q000000981:diagnostic imaging* / Q000209:etiology; D010264:Paraplegia / Q000150:complications; D011859:Radiography; D013119:Spinal Cord Injuries / Q000150:complications; D013924:Thrombophlebitis / Q000000981:diagnostic imaging* / Q000628:therapy; D016306:Vena Cava Filters