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Medical Science Monitor Basic Research


Thrombosis of common femoral vein imitating acute appendicitis: A case report

Jamill Ahmed, Jeremy Wilson, Ismail Hameed Mallick, Getta Kaur

Am J Case Rep 2008; 9:392-394

ID: 869302

Available online: 2008-09-22

Published: 2008-09-22

Backgound: Presentation of acute appendicitis may be typical or atypical depending upon clinical signs and symptoms. Atypical features may pose a diagnostic challenge. It is imperative during clinical evaluation of an atypical presentation; we consider other conditions that might mimic acute appendicitis.
Case Report: We report the unique case of a 25-year-old man who presented with typical signs and symptoms of acute appendicitis in whom a subsequent diagnosis of thrombosis of the common femoral vein secondary to congenital anomalies of inferior vena cava (IVC) was made.
Conclusions: In patients with atypical symptoms, deep venous thrombosis (DVT) must be actively looked for and thus may avoid an unnecessary operation. Deep venous thrombosis should be considered as a rare possibility in the differential diagnosis of acute appendicitis to avoid unnecessary intervention.

Keywords: acute appendicitis, Femoral Vein thrombosis , Anomalies inferior vena cava.