Delayed diagnosis of iliac vein thrombus in a sexually-active adolescent with Klippel-Trénaunay syndrome.

Journal Article (Journal Article)

BACKGROUND: Although iliac vein thrombus is uncommon in adolescents, it can present with pelvic inflammatory disease (PID) symptoms. CASE: A 19-year-old sexually active female with Klippel-Trénaunay syndrome (KTS) presented with fever, abdominal and lower extremity pain. Physical findings included cervical motion tenderness and left lower extremity swelling and erythema. The patient was admitted for PID and cellulitis. Despite antimicrobial treatment her pain continued. Neisseriae gonorrhea and Chlamydia trachomatis cultures were negative. Abdominal and pelvic computed tomography scans revealed a left internal iliac vein thrombus. Anticoagulation therapy was initiated; her pain improved. On hospital day 7 she developed pulmonary emboli. SUMMARY AND CONCLUSION: In sexually active adolescents with known risk factors for thromboembolism such as KTS, symptoms and signs considered characteristic for PID can be present in association with an iliac vein thrombus.

Full Text

Duke Authors

Cited Authors

  • Garg, A; Trent, ME; Strouse, JJ; Mitchell, SE; Rowe, PC

Published Date

  • June 2009

Published In

Volume / Issue

  • 22 / 3

Start / End Page

  • e29 - e32

PubMed ID

  • 19539193

Pubmed Central ID

  • PMC3902102

Electronic International Standard Serial Number (EISSN)

  • 1873-4332

Digital Object Identifier (DOI)

  • 10.1016/j.jpag.2007.12.010


  • eng

Conference Location

  • United States