Photoclinic Challenge

Can You Make a Diagnosis Based on This CT Venogram?

Volume 64 - Issue 1 - January 2024

Consultant360’s Photoclinic Challenge is an interactive quiz based on an image featured in a Photoclinic article. View the slideshow for a brief overview of the case, patient history, and a key hint. For more Photoclinic Case Reports, visit our archive.

Figure. CT scan showing chronic occlusion of the left common iliac vein secondary to compression by the right common iliac artery.

© 2023 HMP Global. All Rights Reserved.
Any views and opinions expressed are those of the author(s) and/or participants and do not necessarily reflect the views, policy, or position of Consultant360 or HMP Global, their employees, and affiliates.

For more vascular disease content, please visit the Disease State Hub

Case. A 62-year-old man with a history of rheumatoid arthritis and gastroesophageal reflux presented to the hospital with persistent left leg pain and swelling for 1 day. The patient had tenderness of the left leg from ankle to thigh.

For more deep vein thrombosis content, visit the Disease State Hub

Diagnostic testing. CBC, comprehensive metabolic panel, and coagulation profile were within normal limits. CT venogram showed nonthrombotic occlusion and marked atresia of the left common iliac vein.

For more Photoclinic Case Reports, visit the Issue archive

Hint. A few days prior to presentation, the patient reported having similar symptoms and was found to have a floating DVT in the left common femoral and greater saphenous veins for which he was started on outpatient anticoagulation.

From the Journal

Photoclinic

A Case of Adult-Onset Lichen Striatus

11/14/2024

Milaan Shah, MD; Divya Shah, MD

A 25-year-old woman with no past medical history presented to the dermatology clinic with abrupt onset of an asymptomatic, reddish, inverted-U-shaped papulosquamous skin eruption that started 3 weeks...

11/14/2024

Radiology Quiz

What Did This 5-Year-Old Girl Ingest?

11/13/2024

David S. Bullard, MD, MEd

A healthy 5-year-old girl presented to the emergency department (ED) with her mother. The child stated that she swallowed something metal earlier that day.

11/13/2024

Photoclinic

A Case of Epiglottitis in an Elderly Man

11/13/2024

Geethika Thota, MD; Karthik Yeruva, MD; Abhishek D. Dave, MD; Sudeepthi Reddy Mekala, MBBS; Thulasi Ram Gudi, MD

A 74-year-old man with a history of chronic obstructive pulmonary disease presented to the emergency department reporting hoarseness of his voice and difficulty eating 2 days prior to his hospital...

11/13/2024

What's the Take Home?

A 66-Year-Old Man With Severe Fatigue

11/12/2024

Ronald N. Rubin, MD

A 66-year-old man presented to the clinic with new fatigue and several weeks of exhaustion. The patient had been in his usual state of health until about 1 month prior, when he noted easy fatigue and...

11/12/2024

radiology quiz

radiology quiz

Post-Traumatic Abnormal Breathing Pattern

11/11/2024

Alexandra Close, BS; Maaria Chaudhry, MS; Kirill Alekseyev, MD; Bilal Chaudhry, MD

A 60-year-old woman presented to the emergency department with blunt thoracic trauma after a head-on motor vehicle accident.

11/11/2024

Can You Make a Diagnosis Based on This CT Venogram?

© 2023 HMP Global. All Rights Reserved.Any views and opinions expressed are those of the author(s) and/or participants and do not necessarily reflect the views, policy, or position of Consultant360 or HMP Global, their employees, and affiliates.

© 2023 HMP Global. All Rights Reserved.
Any views and opinions expressed are those of the author(s) and/or participants and do not necessarily reflect the views, policy, or position of Consultant360 or HMP Global, their employees, and affiliates.