Deep venous thrombosis revealed during ultrasound-guided femoral nerve block.
Ultrasound imaging used to facilitate performance of a femoral nerve block also affords imaging of adjacent anatomical structures. Following a fracture of the femur, an ultrasound guided femoral nerve block (UGFNB) was performed to provide analgesia; this led to the incidental finding of a previously undiagnosed femoral vein thrombosis (DVT), resulting in a change in patient management before surgery. An inferior vena cava (IVC) filter was placed before intramedullary nailing of the fracture.
Sutin
K M
KM
Department of Anesthesiology, New York University School of Medicine, 550 First Avenue, New York, NY 10016, USA. kensutin@yahoo.com
Schneider
C
C
Sandhu
N S
NS
Capan
L M
LM
D000328:Adult; D001859:Bone Neoplasms / Q000150:complications; D005260:Female; D005264:Femoral Fractures / Q000000981:diagnostic imaging*; D005267:Femoral Nerve / Q000000981:diagnostic imaging; D005268:Femoral Vein / Q000000981:diagnostic imaging*; D005598:Fractures, Spontaneous / Q000000981:diagnostic imaging; D006801:Humans; D033162:Incidental Findings; D009407:Nerve Block / Q000379:methods*; D018234:Sarcoma, Alveolar Soft Part / Q000150:complications; D014463:Ultrasonography; D016306:Vena Cava Filters; D020246:Venous Thrombosis / Q000000981:diagnostic imaging*