Defecation induced deep venous thrombosis. A case report.
While the risk of deep venous thrombosis (DVT) during prolonged fights is well recognized, we present the case of a 54-year-old male who suffered a deep venous thrombosis following defecation. Defecation, through a combination of the Valsalva maneuver and squatting, led to a DVT due to venous stasis, most marked in the left leg. Color-duplex scanning not only proved a convenient diagnostic tool but also allowed for monitoring and documentation of popliteal and saphenous vein recanalization. Being non-invasive and complication-free, color-duplex scanning should be considered for any patient in whom DVT is a possibility.
Chew
G
G
Emergency Department, Chang Gung Memorial Hospital, Taipei, Taiwan, R.O.C.
Liao
W B
WB
Hsu
T S
TS
Bullard
M J
MJ
D000792:Angiography; D003672:Defecation; D006801:Humans; D007866:Leg / Q000098:blood supply; D008297:Male; D008875:Middle Aged; D011187:Posture; D013924:Thrombophlebitis / Q000000981:diagnostic imaging / Q000209:etiology*; D018615:Ultrasonography, Doppler, Color; D018616:Ultrasonography, Doppler, Duplex