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Abstract
Soleal and gastrocnemius vein thrombosis in a patient with a muscular hematoma
Highlights
ConclusionsNo treatment guidelines are available for this variant of deep vein thrombosis (DVT) and data regarding the risk factors and natural history of Isolated soleal and/or gastrocnemius deep vein thrombosis (ISGVT) are limited
Isolated soleal and/or gastrocnemius deep vein thrombosis (ISGVT) is diagnosed with increasingly frequency, its clinical relevance and optimal treatment are still unknown
No treatment guidelines are available for this variant of deep vein thrombosis (DVT) and data regarding the risk factors and natural history of ISGVT are limited
Summary
Improvement in venous duplex technology have increased the detection of thrombi in soleal and gastrocnemius deep veins, which to date have been considered to be clinically insignificant. Many important issues, such as natural course, clinical relevance, risk of progression and optimal treatment of venous thrombosis limited to soleal and gastrocnemius veins still remain unclear which gives rise to discrepancies among Physicians. Well-designed and properly powered clinical studies addressing the issue of ISGDVT need to be undertaken in order to assess the risks and benefits of anticoagulation in this setting
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