title: Plantar vein thrombosis due to busy night duty on intensive care unit.
abstract: A 32-year-old woman with severe foot pain came to our emergency department after a busy night duty in hospital followed by an extended sleep period. Physical examination revealed a discrete swelling of the medial aspect of the right foot and a painful plantar arch during digital examination. Magnetic resonance imaging (MRI) with intravenous gadolinium showed filling defects in the lateral plantar vein. Doppler sonography displayed noncompressible structures in the plantar veins without flow signals, suggesting a plantar vein thrombosis. Therapy was initiated with low-molecular-weight heparin in combination with customized elastic bandages for the lower leg. Follow-up sonography 6 weeks later showed complete patency of the plantar veins. To our knowledge, we present the first case of isolated plantar vein thrombosis independent of trauma, surgery, or malignant disease, most probably caused by a busy night duty on the intensive care unit (ICU) followed by a prolonged sleeping period.
authors: Department of Cardiology and Intensive Care Medicine, Bogenhausen Hospital, Munich, Germany.
authors: Carolin
authors: C
authors: Geiger
authors: Antje
authors: A
authors: Rademacher
authors: Daniel
authors: D
authors: Chappell
authors: Mojtaba
authors: M
authors: Sadeghi-Azandaryani
authors: Jens
authors: J
authors: Heyn
mesh_terms: D000925:Anticoagulants / Q000008:administration & dosage*; D058128:Compression Bandages; D005260:Female; D006495:Heparin, Low-Molecular-Weight / Q000008:administration & dosage*; D006801:Humans; D007362:Intensive Care Units; D018810:Magnetic Resonance Angiography; D018608:Ultrasonography, Doppler; D020246:Venous Thrombosis / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*
chemical_list: D000925:Anticoagulants; D006495:Heparin, Low-Molecular-Weight