Year : 2020  |  Volume : 7  |  Issue : 3  |  Page : 250-253

Superficial-vein thrombosis of the lower limb: A pathology that is not always benign

Department of Vascular Surgery, Faculty of Medicine and Pharmacy of Oujda, Mohammed 1st University, Oujda, Morocco

Correspondence Address:
Abdellah Rezziki
Department of Vascular Surgery, Faculty of Medicine and Pharmacy of Oujda, Mohammed 1st University, Oujda
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijves.ijves_5_20

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Objectives: The value of our observations is to take stock of the interest of the medical and surgical management of superficial vein thrombosis. Case Report: We report three patients with severe superficial vein thrombosis whose symptoms were painful induration along the course of the superficial veins of the lower limb. The diagnosis was confirmed by venous Doppler, follow-up was marked by the occurrence of thromboembolic complications (pulmonary embolism) in one patient. Results: All patients received emergency treatment-anticoagulation for a week with relay by Vitamin K antagonists, surgery as an emergency consisted of ligation of the saphenofemoral junction (SFJ) under local anesthesia in one patient (Case 2). One of the patients had a pulmonary embolism 3 days later, and this patient did not receive surgical ligation. The third patient has progressed well on anticoagulant therapy. Discussion: Superficial vein thrombosis of the lower limbs has long been considered as benign with the natural course often leading to resolution of the thrombus and in rare cases complications which can affect the prognosis of the patient. Anticoagulation should be started urgently especially before extensive thrombosis and surgical ligation of the SFJ considered to prevent thrombus propagation. Conclusion: Superficial vein thrombosis is often considered to have a benign course once diagnosed. Experience from our short series suggests that the management should be more aggressive and robust with anticoagulation and consideration of ligation of the SFJ where thrombosis is extensive and reduce the dreaded complication of a pulmonary embolism. Therapeutic recommendations concerning this disease have a relatively weak level of certitude as no treatment has been proved of benefit. We thought interesting to talk through observational clinical cases and expose our personal attitude to a serious superficial vein thrombosis.

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