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Thrombophlebitis/Superficial Vein Thrombosis
Published in Charles Theisler, Adjuvant Medical Care, 2023
Thrombophlebitis is an inflammation of a superficial vein wall causing a clot, or thrombus formation. Most cases of superficial vein thrombosis occur in the legs (e.g., long or short saphenous veins) in association with varicosities. In the upper extremity, the condition can develop after use of an IV line or other trauma to the vein wall. Pain, warmth, swelling, and tenderness are often present over the clot site. Superficial thrombophlebitis is generally a benign and short-term condition. Symptoms typically resolve in one to two weeks.1 Most times, treatment of superficial thrombophlebitis is directed to managing pain and inflammation.2
Surgical Techniques for Synthetic Suburethral Sling Placement: TVT and TOT
Published in Victor Gomel, Bruno van Herendael, Female Genital Prolapse and Urinary Incontinence, 2007
Renaud de Tayrac, Hervé Fernandez
The procedure was successfully performed in all of the patients. All helical passers were passed through the obturator foramen and exited at the skin level exactly where it had been marked and incised. The mean operative time for the TVT-O procedure was 12 minutes (range 6–20). There were no urethral or bladder injuries and no significant bleeding during the procedure. There were no major post-operative complications such as obturator or thigh hematoma, neurological or bowel complications, tape rejection or fistula. A minor vaginal wound healing defect was observed in one patient; this did not require further surgery. Urinary infection was noted in three patients. Superficial vein thrombosis occurred in one patient at day 8 after surgery, with secondary development of an abscess that required drainage; this abscess was located approximately 10 cm below the skin exit point of the passer. Nonetheless the outcome for the patient was favorable. After this adverse event, all patients were administered antibiotics prophylactically.
Antiphospholipid syndrome, “the best prophet of the future”
Published in Modern Rheumatology, 2018
Single or multiple arterial, venous, or small vessel thrombosis may occur in any organ, leading to a wide variety of presentations. A multicenter study of 1000 APS patients from 13 European countries shows that deep vein thrombosis of the lower extremities is the most common feature of APS, occasionally complicated by pulmonary embolism. Patients with APS may develop pulmonary hypertension, likely due to recurrent pulmonary embolism or intravascular thrombosis. Superficial vein thrombosis or thrombosis of axillary, central retinal, glomerular, adrenal (Addison’s disease) or hepatic (Budd–Chiari syndrome) veins have been related to the presence of aPL. Less frequent are the thromboses of large veins such as subclavian, jugular, humeral, and vena cava. In the arterial circulation, the most frequent is the involvement of intracranial arteries leading to ischemic stroke or transient ischemic attacks. Other manifestations of arterial occlusion are ischemic heart disease, peripheral gangrene, thrombosis of aorta, mesenteric, adrenal, renal, and ileofemoral arteries [34]. Interestingly, Japanese APS population has more frequent thrombotic events in artery rather than in vein [35].
Patients with laboratory criteria of anti-phospholipid syndrome and ‘non-criteria’ manifestations: a multicenter cohort
Published in Scandinavian Journal of Rheumatology, 2023
G Pires da Rosa, E Ferreira, B Sousa-Pinto, P Bettencourt, G Espinosa, R Cervera
Thirty-one patients (41%) were under long-term therapy with low-dose aspirin (LDA), 10 patients (13%) with hydroxychloroquine, and six patients (13%) under anticoagulation with a vitamin K antagonist. Clinical manifestations in anticoagulated patients included white-matter lesions, APS nephropathy, superficial vein thrombosis, amaurosis fugax, and skin ulcers. Among patients with obstetric manifestations (n = 38), two (5%) were treated with low-molecular-weight heparin (LMWH) monotherapy during at least one pregnancy, five (13%) with LDA monotherapy, and 20 (53%) with LMWH/LDA combination. In 19 patients (50%) with previous obstetric morbidity, treatment was associated with a successful pregnancy, while in four cases mixed results were observed.
Thrombosis of the deep dorsal vein of the penis caused by vaccine-induced thrombotic thrombocytopenia: First reported case
Published in Arab Journal of Urology, 2023
Mounir Jamali, Amine Cherraqi, Alexis Melang Mvomo, Youness Boukhlifi, Mohammed Alami, Ahmed Ameur
The occurrence of venous thrombosis of the penis is often related to Mondor’s disease (superficial vein thrombosis). Several cases have been reported in the literature in recent years, while thrombosis of the deep dorsal vein of the penis has rarely been reported [5].