Delayed Diagnosis of Iliac Vein Thrombus in a Sexually-Active Adolescent with Klippel-Trénaunay Syndrome

Arvin Garg, Maria E. Trent, John J. Strouse, Sally E. Mitchell, Peter C. Rowe

Research output: Contribution to journalArticlepeer-review

Abstract

Background: Although iliac vein thrombus is uncommon in adolescents, it can present with pelvic inflammatory disease (PID) symptoms. Case: A 19-year-old sexually active female with Klippel-Trénaunay syndrome (KTS) presented with fever, abdominal and lower extremity pain. Physical findings included cervical motion tenderness and left lower extremity swelling and erythema. The patient was admitted for PID and cellulitis. Despite antimicrobial treatment her pain continued. Neisseriae gonorrhea and Chlamydia trachomatis cultures were negative. Abdominal and pelvic computed tomography scans revealed a left internal iliac vein thrombus. Anticoagulation therapy was initiated; her pain improved. On hospital day 7 she developed pulmonary emboli. Summary and Conclusion: In sexually active adolescents with known risk factors for thromboembolism such as KTS, symptoms and signs considered characteristic for PID can be present in association with an iliac vein thrombus.

Original languageEnglish (US)
Pages (from-to)e29-e32
JournalJournal of pediatric and adolescent gynecology
Volume22
Issue number3
DOIs
StatePublished - Jun 1 2009

Keywords

  • Klippel-Trénaunay syndrome
  • Pelvic inflammatory disease
  • Venous thromboembolism

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynecology

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