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

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

Research output: Contribution to journalArticle

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)
JournalJournal of Pediatric and Adolescent Gynecology
Volume22
Issue number3
DOIs
StatePublished - Jun 2009

Fingerprint

Iliac Vein
Pelvic Inflammatory Disease
Delayed Diagnosis
Thrombosis
Pain
Lower Extremity
Cellulitis
Neisseria gonorrhoeae
Chlamydia trachomatis
Thromboembolism
Erythema
Embolism
Signs and Symptoms
Fever
Tomography
Lung
Therapeutics

Keywords

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

ASJC Scopus subject areas

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

Cite this

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title = "Delayed Diagnosis of Iliac Vein Thrombus in a Sexually-Active Adolescent with Klippel-Tr{\'e}naunay Syndrome",
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-Tr{\'e}naunay 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.",
keywords = "Klippel-Tr{\'e}naunay syndrome, Pelvic inflammatory disease, Venous thromboembolism",
author = "Arvin Garg and Trent, {Maria E} and John Strouse and Mitchell, {Sally E} and Peter Rowe",
year = "2009",
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language = "English (US)",
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journal = "Journal of Pediatric and Adolescent Gynecology",
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T1 - Delayed Diagnosis of Iliac Vein Thrombus in a Sexually-Active Adolescent with Klippel-Trénaunay Syndrome

AU - Garg, Arvin

AU - Trent, Maria E

AU - Strouse, John

AU - Mitchell, Sally E

AU - Rowe, Peter

PY - 2009/6

Y1 - 2009/6

N2 - 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.

AB - 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.

KW - Klippel-Trénaunay syndrome

KW - Pelvic inflammatory disease

KW - Venous thromboembolism

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