title: Challenges in the management of iliofemoral deep vein thrombosis in a resource limited setting: a case series.
abstract: Iliofemoral deep vein thrombosis is a medical emergency associated with pulmonary embolism, severe postthrombotic morbidity and increased rates of recurrence. We present 3 cases of iliofemoral deep vein thrombosis managed in a setting of limited resources. Results of 2-D Ultrasound scan which suggested proximal DVT was confirmed by Doppler ultrasound scan. Patients were all managed by systemic anticoagulation alone. In experienced hands, it is possible to diagnose iliofemoral DVT with 2-D Ultrasound scan and treatment with systemic anticoagulation alone still has a role. However recent studies have proved clearly the superiority of thrombectomy over systemic anticoagulation alone. There is a need to improve the infrastructure and expertise of clinicians managing these conditions in underdeveloped settings to enable them offer the best to their patients.
authors.affiliation: Department of Surgery, Irrua Specialist Teaching Hospital, PMB 8, Irrua, Edo State, Nigeria.
authors.forename: Emeka Blessius
authors.initials: EB
authors.lastname: Kesieme
authors.affiliation: Department of Medicine, Irrua Specialist Teaching Hospital, PMB 8, Irrua, Edo State, Nigeria.
authors.forename: Peter
authors.initials: P
authors.lastname: Okokhere
authors.affiliation: Department of Radiology, Irrua Specialist Teaching Hospital, PMB 8, Irrua, Edo State, Nigeria.
authors.forename: Sylvester
authors.initials: S
authors.lastname: Eluehike
authors.affiliation: Department of Obstetrics and Gynaecology, Irrua Specialist Teaching Hospital, PMB 8, Irrua, Edo State, Nigeria.
authors.forename: Peter
authors.initials: P
authors.lastname: Isabu
mesh_terms: D000293:Adolescent; D000328:Adult; D000925:Anticoagulants / Q000627:therapeutic use*; D003906:Developing Countries; D004359:Drug Therapy, Combination; D017984:Enoxaparin / Q000627:therapeutic use; D005268:Femoral Vein / Q000000981:diagnostic imaging*; D005343:Fibrinolytic Agents / Q000627:therapeutic use*; D006801:Humans; D007084:Iliac Vein / Q000000981:diagnostic imaging*; D008297:Male; D008875:Middle Aged; D009549:Nigeria; D011655:Pulmonary Embolism / Q000517:prevention & control; D014463:Ultrasonography; D020246:Venous Thrombosis / Q000000981:diagnostic imaging / Q000188:drug therapy*; D014859:Warfarin / Q000627:therapeutic use; D055815:Young Adult
chemical_list: D000925:Anticoagulants; D017984:Enoxaparin; D005343:Fibrinolytic Agents; D014859:Warfarin
keywords: Iliofemoral deep vein thrombosis; proximal; systemic anticoagulation; thrombectomy