You are here

Article Text

Article menu
Download PDFPDF
Reminder of important clinical lesson
CASE REPORT
Case of unilateral leg swelling: a DVT mimic
  1. Fiona Y H Kwok1,
  2. Shehnila Zaya2,
  3. Ravisankar Moorchilot2,
  4. Asim Shah3
  1. 1Queen’s Medical Centre, Nottingham, UK
  2. 2Geriatric Medicine, Queen’s Medical Centre, Nottingham, UK
  3. 3Interventional Radiology, Queen’s Medical Centre, Nottingham, UK
  1. Correspondence to Dr Fiona Y H Kwok, fiona.kwok{at}nhs.net

Summary

A 68-year-old woman with known metastatic renal cell carcinoma presented with an acutely swollen right leg. In between the two sessions of palliative radiotherapy to the right hip, she also had right hip modified Harrington procedure for tumour resection with hip replacement. Initial clinical evaluation raised the suspicion of right leg deep vein thrombosis (DVT). However, DVT was excluded and further investigations revealed stenosis of the right external and common iliac veins, likely secondary to radiotherapy.

  • interventional radiology
  • radiotherapy

https://doi.org/10.1136/bcr-2017-221651

Statistics from Altmetric.com

    Request Permissions

    If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

    View Full Text

    Footnotes

    • Contributors FK as the first author performed literature search, wrote the manuscript, acted as the corresponding author and replied to editors. SZ assisted with writing cover letter, revising the case report and obtaining consent. RM and AS have contributed equally as last authors. They have both supervised the work and evaluated manuscript. In addition, AS supplied images of the radiology intervention, whereas RM assisted with correspondence to the editors.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.