Calf deep venous thrombosis should be treated with anticoagulation
Abstract
A 50-YEAR-OLD MAN with hypertension presents with a 2-day history of right calf swelling and pain. Venous duplex ultrasound reveals a right soleal vein thrombosis. He denies history of bleeding, renal disease, and symptoms suggestive of pulmonary embolism (PE). Physical examination is unrevealing except for calf tenderness, redness, warmth, and swelling. He is ambulatory. A decision is made to treat the calf deep venous thrombosis (DVT) with anticoagulation.
aSection of Hematology and Coagulation Medicine, Department of Hematology and Medical Oncology, The Cleveland Clinic Foundation, 9500 Euclid Avenue, Desk R-35, Cleveland, OH 44195, USA
bDepartment of Surgery, Evanston Northwestern Healthcare, Northwestern University, Evanston, IL, USA
cDepartment of Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA
ABSTRACT