Abstract
A 58-year-old woman was urgently admitted to the hospital because of a swelling and severe pain of the right calf. There was a previous history of undergoing a mitral valve replacement 11 years before, and thereafter she was controlled with an oral anticoagulant agent (Warfarin). She was also taking antidepressive agents for recent 2 years. Phlebography revealed a thrombotic occlusion localized in the right calf. After anticoagulant and thrombolytic therapies, the recanalization of the occlusive region was obtained. However, the patient was reluctant to walking, and developed the foot drop and steppage gait on the 19th after admission. The deep venous thrombosis complicated by peroneal nerve palsy like our experience is very rare. It is suggested that the compartment syndrome might be related to the cause, which developed the peroneal nerve palsy. In addition, this case emphasizes the inportance that we should improve the swelling of the calf by walking as soon as possible, and avoid the long-term leg abduction position on bed, in order to prevent this complication.
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