Vallejo Chaves Saul¹*, Molano Milton² and Ramirez German³

¹Department of Pediatrician, Universidad Surcolombiana, Neiva-Huila
²Intensivista Pediatrician, Medilaser Clinic, Neiva
³Peripheral Vascular Surgeon, Medilaser Clinic, Neiva

*Corresponding Author: Vallejo Chaves Saul, Department of Pediatrician, Universidad Surcolombiana, Neiva-Huila.

Received: October 28, 2022; Published: November 08, 2022

Abstract

Deep vein thrombosis represents 0.05% of hospitalizations in pediatrics, with a similar predilection between male and female; and higher incidence in newborns and adolescents. We present the case of a 1 6-year-old female patient, treated at the Fourth Level Clinic, Colombia, with a history of pain in the left lower limb of five days of evolution, located in the thigh and radiated to the entire leg, with increased volume and paresthesias, making it impossible for her to ambulate. The performance of a venous Doppler ultrasound of the left lower limb revealed: common, superficial, deep femoral veins and popliteal vein with absence of compressibility, dilated, with presence of heterogeneous echogenic material inside and without flow to the Doppler study, image that corresponds to thrombus that extends from the proximal end to the middle end of the leg, the study confirmed deep vein thrombosis. Assessed by vascular surgery who considers has indication of thromboaspiration protocol both pulmonary and lower limbs by phlebography of lower limb, cavograph filter vena cava, thoracic phlebography (pulmonary) thrombo aspiration - thromboembolectomy of abdominal vessels, pulmonary vessels and vessels of the lower left limbs which is performed without complications. It progressed satisfactorily and treatment was continued on an outpatient basis. This case aims to generate scientific knowledge in health personnel who work with children and adolescents to guide them not to automatically rule out deep vein thrombosis in pediatric patients as a differential diagnosis and thus provide adequate and early treatment avoiding complications that could become fatal.

Keywords: T Venous Rhombosis; Deep Vein Thrombosis; Adolescent; Pediatrics; Treatment

References

1. Altuna D. “Thrombosis in Pediatrics”. Hematology 17 (2013): 38-43.
2. Monagle P., et al. “Outcome of Pediatric Thromboembolic Disease: A Report from the Canadian Childhood Thrombophilia Registry”. Pediatric Research 47 (2000): 763-766.
3. Smitherman AB., et al. “The Incidence of Catheter-Associated Venous Thrombosis in Noncritically Ill Children”. Hospital Pediatrics 5 (2015): 59-66.
4. Iriarte EJA., et al. “Arterial and venous thromboses in childhood (I): incidence, etiopathogenesis and diagnosis”. Acta Pediátrica Española 66 (2008): 381-384.
5. Mantadakis E., et al. “Deep venous thrombosis in children with musculoskeletal infections: the clinical evidence”. International Journal of Infectious Diseases 16 (2012): 236-243.
6. Páramo JA., et al. “Diagnosis and treatment of deep vein thrombosis”. Revista de Medicina de la Universidad de Navarra 51 (2007): 13-17.

Citation

Citation: Vallejo Chaves Saul., et al. “Clinical Case Report Acute Management of Deep Vein Thrombosis with Pulmonary Thromboembolism in A 16-Year-Old Patient".Acta Scientific Nutritional Health 6.12 (2022): 40-42.

Copyright

Copyright: © 2022 Vallejo Chaves Saul., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.