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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 under the CC BY-NC-ND 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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