oberflächliche Venenthrombose
Thrombophlebitis
am Ellenbogen nach Infusionsnadel: Deutliche Verdickung der Wand und fehlender Perfusion im Lumen. Im Bild rechts unten ist in der linken Bildhälfte wieder ein normales venöses Gefäß zu erkennen.
Thrombophlebitis
im Ultraschall: links im Bild normale Vene, rechts wandverdickt, verschlossen. An der Grenze zwischen beiden war in der anderen Ebene ein zuführender Ast zu sehen, der den Fluss nach proximal aufrecht hielt.
Oberflächliche
Venenthrombose kubital: Oben Querschnitt, links im Bild unauffällige parallel verlaufende Vene, rechts die thrombophlebitisch verschlossene Venen. Unten Längsschnitt mit links noch offenem Lumen, rechts thrombophlebitisch verschlossenem Lumen.
Superficial
thrombophlebitis • Superficial thrombophlebitis - Ganzer Fall bei Radiopaedia
Superficial
thrombophlebitis • Superficial thrombophlebitis - Ganzer Fall bei Radiopaedia
Superficial
thrombophlebitis • Superficial thrombophlebitis - Ganzer Fall bei Radiopaedia
Superficial
thrombophlebitis • Superficial thrombophlebitis - Ganzer Fall bei Radiopaedia
Superficial thrombophlebitis, also called superficial venous thrombosis (SVT), is a pathological condition characterized by the presence of a thrombus in the lumen of a superficial vein, accompanied by inflammatory reaction of adjacent tissues.
Terminology
Some authors, however, reserve the term superficial venous thrombosis to the situation when there is thrombosis of a superficial vein without any associated inflammatory component .
Clinical presentation
Typically presentations include:
- tender erythematous areas overlying a superficial vein
- may be warm to touch
- there may be palpable mass and surrounding edema
- visible distension of the vein proximal to the thrombosis
- there may be signs of chronic venous disease: visible varicosities, skin pigmentation, or palpable cords
Pathology
Like deep vein thrombosis (DVT), its occurrence is also related to the Virchow's triad.
Etiology
There are a large number of potential causes which does overlap with the causes of DVT :
- varicose veins (most common)
- morphological changes that predispose to stasis and consequently to the development of thrombotic process
- prolonged immobilization
- surgery/trauma
- obesity
- hypercoagulable states, e.g. factor V Leiden thrombophilia
- oral contraceptive use
- past history SVT or DVT
- intravenous cannula use
- malignancies (see: Trousseau syndrome)
- autoimmune disease
- inflammatory conditions, in particular, Behcet disease and Buerger disease
Siehe auch:
und weiter:
Assoziationen und Differentialdiagnosen zu oberflächliche Venenthrombose: