ISSN : 1301-5680
e-ISSN : 2149-8156
Turkish Journal of Thoracic and Cardiovascular Surgery     
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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