EARLY DETECTION AND ASSESSMENT OF SPECIFIC RISK FACTORS FOR RECURRENCE OF DEEP VEIN THROMBOSIS: A CASE REPORT.

*Kumar Vinod, Devarshi Shraddha and James Sonia

ABSTRACT

Introduction: Venous thromboembolism is an important cause of hospital acquired morbidity and mortality. Episodes of deep vein thrombosis successfully treated with anticoagulant therapy may still result in venous valvular incompetence and lead to post phlebitic syndromes, characterized by ulceration, varicosities and edema. Upto 70% of patients diagnosed with PE (Pulmonary embolism) had an existing lower extremity DVT (Deep vein thrombosis), emphasizing the significance of accurately diagnosing DVTs in patients and securing early intervention. Case history: A 50 years old male patient, presented with complaints of pain and swelling in the left lower limb with bluish discoloration of feet, had a history of acute myocardial infarction, chronic pulmonary hypertension, right lower limb DVT and amputation of right leg above knee. Doppler ultrasound of left leg confirmed extensive deep vein thrombosis, which was done in the later hospitalization and was treated with anticoagulants. Conclusion: Reasons for complications could be prevailing risk factors, lack of early detection of his condition and non-adherence to treatment. Early detection of deep vein thrombosis can prevent its complications and recurrence. Counselling can help in improving adherence to treatment.

Keywords: Deep Vein Thrombosis, Anticoagulant, Venous Doppler, Pulmonary Embolism.