title: Preventing deaths in ambulatory care from isolated pelvic vein deep vein thrombosis: Mortality and Mortality meetings have a key role.
abstract: Isolated Pelvic vein Deep Venous Thrombosis (DVT) is a relatively rare phenomenon, but is usually not identified by conventional lower limb duplex Ultrasound scanning. We present two cases of isolated iliac vein thrombosis; the first resulting in the patient's death from Pulmonary Embolism (PE) after normal lower limb duplex scan. The second case was identified and successfully treated after introduction of a revised investigation algorithm following the first case. The literature supports the use of magnetic resonance imaging, CT venography, or ascending venography, to diagnose this condition.
authors: ST5 Acute Medicine, Southampton University Hospital Trust, UK.
authors: J
authors: J
authors: Wileman
mesh_terms: D000368:Aged; D016757:Death, Sudden, Cardiac / Q000453:epidemiology / Q000209:etiology / Q000517:prevention & control*; D003937:Diagnosis, Differential; D017809:Fatal Outcome; D005260:Female; D005343:Fibrinolytic Agents / Q000627:therapeutic use*; D005500:Follow-Up Studies; D017052:Hospital Mortality; D006801:Humans; D018810:Magnetic Resonance Angiography; D008875:Middle Aged; D010388:Pelvis / Q000098:blood supply*; D010690:Phlebography; D014057:Tomography, X-Ray Computed; D018616:Ultrasonography, Doppler, Duplex; D020246:Venous Thrombosis / Q000150:complications / Q000175:diagnosis / Q000628:therapy*
chemical_list: D005343:Fibrinolytic Agents