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Gastrocnemius vein thrombosis

Case contributed by Maulik S Patel
Diagnosis almost certain

Presentation

Left calf localized pain for the last one day. No pedal edema. No trauma. COVID-19 positive 2 weeks back.

Patient Data

Age: 40 years
Gender: Female
ultrasound

At the site of the pain pointed by the patient, one of the paired veins of the medial head of the gastrocnemius muscle shows echogenic, distended, non-compressible lumen without color flow favoring acute thrombosis. There is no thrombus extension to the popliteal vein.

After 3 weeks of anticoagulant

ultrasound

There is the resolution of the venous thrombosis resulting in a compressible vein. The affected vein shows mild wall thickening.

Case Discussion

After two weeks of COVID-19 infection, the patient developed acute left calf pain. The ultrasound shows isolated acute venous thrombosis of the gastrocnemius medial head without thrombus extension to the popliteal vein.

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