Preventing deaths in Ambulatory Care from Isolated Pelvic Vein Deep Vein Thrombosis: Mortality and Mortality Meetings have a key role

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Author(s): J Wileman

Description

Isolated Pelvic vein Deep Venous Thrombosis (DVT) is a
relatively rare phenomenon, but is usually not identified by
conventional lower limb duplex Ultrasound scanning. We
present two cases of isolated iliac vein thrombosis; the first
resulting in the patients death from Pulmonary Embolism
(PE) after normal lower limb duplex scan. The second case
was identified and successfully treated after introduction of a
revised investigation algorithm following the first case. The
literature supports the use of magnetic resonance imaging,
CT venography, or ascending venography, to diagnose this
condition.