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

Neonate With Acquired Babesiosis

12/20/2024

Giridhar Guntreddi, MD, FAAP, FAPHM; Alfredo Valdez, MD; Achuth Jayasankar Kondoor; Swayam Prabha Nirujogi, MD, MBA, FAAFP

A 27-day-old previously healthy male neonate first presented to the emergency department with 1-day history of fever, irritability, and feeding intolerance.

12/20/2024

Photoclinic

A Case of Menopause-Induced Angioedema

12/18/2024

Tobechukwu A. Clouden, MD, MPH

Angioedema is a painless, non-pitting, localized edema that occurs within the deep layers of the skin. There are known genetic differences that influence angioedema, and the attacks have been linked to sex...

12/18/2024

What's The Take Home?

What's The Take Home?

A 73-Year-Old Man With Subacute Onset of Diplopia

12/17/2024

Ronald N. Rubin, MD

A 73-year-old man describes subacute onset of diplopia (double vision) occurring for several weeks.

12/17/2024

photoclinic

Chylothorax and Respiratory Failure Following Spontaneous Vaginal Delivery in a Patient with Pre-Eclampsia

12/16/2024

Bruno Hochhegger, MD, PhD; U. George McCann, III, BS; Ali Mirza, BS, MPH; Michael Mathelier, BS; Scotty McGaugh, BA; Kevin Pierre, MD; Ralph Tullo, MD; Yazeed Fraij, DO; Hugh Davis, MD

A 37-year-old gravida two para one woman at 35 weeks and 3 days of gestation presented to labor and delivery triage with a two-day history of gestational hypertension, headaches, and visual disturbances. ...

12/16/2024

Case in Point

Case in Point

Communication Barriers Concerning Implantable Cardioverter Defibrillator Deactivation Near End of Life

12/13/2024

W. Clay Jackson, MD, DipTh

A 62-year-old woman presented to a palliative care clinic for follow-up of symptom management. She reported a recent fall after unexpectedly being shocked by her implantable cardioverter-defibrillator...

12/13/2024

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.