SHM Converge Scientific Abstract ePoster Gallery-Recurrent Unprovoked Deep Venous Thrombosis With a Coincidental Finding of Bilateral Pulmonary Embolism

Recurrent Unprovoked Deep Venous Thrombosis With a Coincidental Finding of Bilateral Pulmonary Embolism

Pdf Summary

This case report describes a 61-year-old woman with a history of prior DVT treated with Xarelto who presented with acute left leg pain, swelling, warmth, and erythema after sitting for several hours. She was also found to be hypoxic and hypertensive on arrival. Imaging revealed an extensive occlusive thrombus in the left distal superficial femoral and popliteal veins, along with bilateral subsegmental pulmonary emboli without right heart strain.<br /><br />Her medical history included coronary artery disease with prior stents and CABG, hypertension, hyperlipidemia, GERD, HFpEF, peripheral vascular disease, and right below-knee amputation. Family history was notable for recurrent thrombosis in her mother. Laboratory studies were largely unremarkable, and a hypercoagulability evaluation was negative.<br /><br />She underwent mechanical thrombectomy with removal of a large clot and was treated with therapeutic Lovenox for one month, then transitioned to Eliquis and discharged safely. The authors emphasize that recurrent unprovoked DVT, especially in a patient with family history and no clear provoking factor, carries a high risk of recurrence and typically warrants indefinite anticoagulation. They also highlight that when an unprovoked DVT is suspected, a hypercoagulability workup should be initiated promptly before anticoagulation when appropriate.

Asset Subtitle

Sara Hassan

Meta Tag

Author List Islam Elkherpitawy, Maria Cynthia Lawless, Sara Hassan

Category Clinical Vignettes

Concept Deep Vein Thrombosis

Concept Recurrent Unprovoked Thrombosis

Concept Pulmonary Embolism

Concept Anticoagulation

Concept Venous Thromboembolism

Distinguished Non-Finalist

Presenter Organization Ocean University Medical Center

Presenting Author Sara Hassan

Track Adult

Keywords

deep vein thrombosis

pulmonary embolism

recurrent thrombosis

mechanical thrombectomy

anticoagulation

hypercoagulability workup

unprovoked DVT

left leg swelling

occlusive thrombus

family history

Deep Vein Thrombosis

Recurrent Unprovoked Thrombosis

Pulmonary Embolism

Anticoagulation

Venous Thromboembolism