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CASE REPORT  NON-COVID-19 SECTION Open accessopen access

Italian Journal of Emergency Medicine 2021 August;10(2):104-6

DOI: 10.23736/S2532-1285.21.00055-0

Copyright © 2021 THE AUTHORS

This is an open access article distributed under the terms of the CC BY-NC-ND 4.0 license which allows users to copy and distribute the manuscript, as long as this is not done for commercial purposes and further does not permit distribution of the manuscript if it is changed or edited in any way, and as long as the user gives appropriate credits to the original author(s) and the source (with a link to the formal publication through the relevant DOI) and provides a link to the license.

lingua: Inglese

A deep vein thrombosis behind an ankle distortion: which came first, the chicken or the egg?

Alberto CARANTI 1, 2 , Mauro BUDINI 3, Jacopo GALAFASSI 4, Davide DEMAGISTRI 1, Laura UCCELLA 1

1 Unit of Emergency Room, Lugano Civic Hospital, Lugano, Switzerland; 2 Unit of Otorhinolaryngology, San Pier Damiano Hospital, Faenza, Ravenna, Italy; 3 University of Ferrara, Ferrara, Italy; 4 Unit of Visceral Surgery, Lugano Civic Hospital, Lugano, Switzerland

We present a case of a 42 years-old man admitted to emergency department due to right ankle trauma, which was initially diagnosed as an ankle distortion without fracture. But nearly a month later, because of persistence of ankle pain, more investigations were required and a diagnosis of deep vein thrombosis on a posterior tibial vein aneurysm was made. The challenges in this case were two: the traumatic event that leaded to an initial misdiagnosis and the difficulty about understanding the pathogenesis of aneurism and thrombosis.

KEY WORDS: Venous thrombosis; Ankle; Veins

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