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Báo cáo khoa hoc:" Vena cava inferior thrombosis detected by venous hum: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Vena cava inferior thrombosis detected by venous hum: a case report | Journal of Medical Case Reports BioMed Central Open Access Case report Vena cava inferior thrombosis detected by venous hum a case report Robert Colebunders 1 2 and Britt Colebunders3 Address Department of clinical sciences Institute of Tropical Medicine Nationalestraat 155 2000 Antwerp Belgium 2Department of internal medicine University of Antwerp Universiteitsplein 1 2610 Antwerp Belgium and 3Faculty of Medicine University of Antwerp Campus Drie Eiken Universiteitsplein 1 2610 Antwerp Belgium Email Robert Colebunders - bcoleb@itg.be Britt Colebunders - brittcolebunders@hotmail.com Corresponding author Published 22 August 2007 Received 12 December 2006 Journal of Medical Case Reports 2007 1 67 doi 10.1186 1752-1947-1-67 Accepted 22 August 2007 This article is available from http www.jmedicalcasereports.cOm content l l 67 2007 Colebunders and Colebunders licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http creativecommons.org licenses by 2.0 which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract We describe a patient in which a venous hum heard during abdominal auscultation lead to the diagnosis of a vena cava inferior thrombosis. Background An early diagnosis of a vena cava inferior thrombosis is essential because this is a life threatening condition if treatment is delayed. To diagnose a deep venous thrombosis DVT a clinical prediction score the Wells scoring system has been proposed Table 1 1 . However even in patients with a DVT of the lower legs this scoring system was found to be of limited value and not able to replace the physicians empirical assessment 2 3 . Certainly for the diagnosis of a vena cava inferior thrombosis such a scoring system is not very useful. In the following case a venous hum detected during abdominal auscultation was almost the only clinical sign suggesting a vena cava inferior .