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10.5606/tgkdc.dergisi.2013.5897
An uncommon cause of hip pain: isolated gluteal deep venous thrombosis associated with prolonged seated immobility
Serkan Şener1, F. Çiğdem Doğulu2, Nevzat Demirhan3
1Department of Emergency Medicine, Acıbadem University, İstanbul, Turkey
2Department of Neurology, Acıbadem University, İstanbul, Turkey
3Department of Radiology, Acıbadem Bursa Hospital, Bursa, Turkey
DOI : 10.5606/tgkdc.dergisi.2013.5897
In this article, we report a 32-year-old female patient
with isolated gluteal deep venous thrombosis, in whom
immobility associated with sitting for long periods at
work represented the major risk factor for her venous
thrombosis. At admission, the patient had a week history
of severe left hip pain which gradually increased in the last
two days. Hip magnetic resonance imaging with contrast
agent demonstrated left inferior gluteal vein thrombosis
and perivascular inflammation which was subsequently
supported by color Doppler ultrasonography. A search for
possible causes of the thrombosis revealed no risk factor
other than prolonged seated immobility at work. After
anticoagulation with low molecular weight heparin and
warfarin, her symptoms completely resolved in two weeks.
In the absence of recognized risk factors, 21st century lifestyle
associated immobility from prolonged sitting might
be considered as the major contributing factor for venous
thrombosis.
Keywords : Gluteal vein; hip pain; prolonged sitting, immobility; thromboembolism
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