title: Severe low back pain as the initial symptom of venous thrombosis of the inferior vena cava.
abstract: A 45-year-old previously well male truck driver presented to the emergency department with severe low back pain; lumbosacral X-ray was normal and he was given analgaesics and discharged. The following day, he presented to the emergency department again, his pain had not responded to the analgaesics; this time he also presented with massive bilateral swelling of lower limbs and left testicle that started 3 h earlier. The pain was severe, dull and interfered with the patient's ability to walk. An urgent workup revealed extensive thrombosis of the inferior vena cava.
authors.affiliation: Department of Clinical Faculty, Dubai Health Authority, Bur Dubai, Dubai, United Arab Emirates.
authors.forename: Mohsen Abdul Wahab
authors.initials: MA
authors.lastname: Tabatabai
authors.affiliation: Rashid Hospital Trauma Center, Bur Dubai, Dubai, United Arab Emirates.
authors.forename: Victor Mikhaeel
authors.initials: VM
authors.lastname: Butros
authors.affiliation: Rashid Hospital Trauma Center, Bur Dubai, Dubai, United Arab Emirates.
authors.forename: Shihab Ahmed
authors.initials: SA
authors.lastname: Mahdi
authors.affiliation: Department of Emergency Medicine, Rashid Hospital Trauma Center, Dubai Health Authority, Dubai, United Arab Emirates.
authors.forename: Mohammad Javad
authors.initials: MJ
authors.lastname: Ahmad
mesh_terms: D003937:Diagnosis, Differential; D005343:Fibrinolytic Agents / Q000627:therapeutic use; D006801:Humans; D017116:Low Back Pain / Q000175:diagnosis / Q000209:etiology*; D008297:Male; D008875:Middle Aged; D010147:Pain Measurement; D012720:Severity of Illness Index; D015912:Thrombolytic Therapy / Q000379:methods*; D014057:Tomography, X-Ray Computed; D018608:Ultrasonography, Doppler; D014682:Vena Cava, Inferior; D020246:Venous Thrombosis / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy
chemical_list: D005343:Fibrinolytic Agents