Deep Vein Thrombosis Due to Fecal Impaction

Kasen Culler*, Preston Eiswirth, James Donaldson, Jared Green, Shankar Rajeswaran

*Corresponding author for this work

Research output: Contribution to journalArticle

Abstract

Background: Deep vein thrombosis (DVT) can occasionally be secondary to mechanical compressions, such as in May-Thurner syndrome. To our knowledge, no cases of DVT associated with mechanical compression by fecal impaction in a pediatric patient have been previously reported. Case Presentation: An 18-year-old developmentally delayed female presented to the emergency department with swelling involving her left lower extremity. Cross-sectional imaging revealed a significant stool burden in the rectosigmoid colon compressing the left external iliac vein and causing secondary thrombosis. Thrombectomy successfully alleviated the clot burden. Conclusion: This case underscores the potentially serious implications of severe fecal impaction in the pediatric and adolescent populations.

Original languageEnglish (US)
JournalJournal of pediatric hematology/oncology
DOIs
StateAccepted/In press - Jan 1 2019
Externally publishedYes

Keywords

  • deep vein thrombosis
  • fecal impaction
  • thrombectomy

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Hematology
  • Oncology

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