Traumatic deep vein thrombosis in a soccer player: A case study
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BioMed Central
Open Access
Case report
Traumatic deep vein thrombosis in a soccer player: A case study Paul S Echlin*1, Ross EG Upshur2,3,4, Douglas B McKeag5 and Harsha P Jayatilake6 Address: 1Providence Athletic Medicine, Providence Hospital and Medical Centers, 47601 Grand River Avenue, Suite 101, Novi Michigan, United States of America 48374, 2Primary Care Research Unit, Department of Family and Community Medicine, Sunnybrook and Women's College Health Sciences Centre, 2075 Bayview Avenue, #E-349, Toronto, Ontario, Canada M4N 3M5, 3Department of Family and Community Medicine, University of Toronto, 263 McCaul Street, Toronto, Ontario, Canada M5T 1W7, 4Department of Public Health Sciences, University of Toronto, 12 Queen's Park Crescent W., Toronto, Ontario, Canada M5S 1A8, 5Department of Family Medicine, Indiana University, Long Hospital, Second Floor. 1110 West Michigan Street, Indianapolis Indiana, United States of America 46202-5102 and 6Department of Family Medicine, Wayne State University, 15400 West McNichols, 2nd Floor, Detroit, Michigan, United States of America 48235 Email: Paul S Echlin* - [email protected]; Ross EG Upshur - [email protected]; Douglas B McKeag - [email protected]; Harsha P Jayatilake - [email protected] * Corresponding author
Published: 14 October 2004 Thrombosis Journal 2004, 2:8
doi:10.1186/1477-9560-2-8
Received: 27 April 2004 Accepted: 14 October 2004
This article is available from: http://www.thrombosisjournal.com/content/2/1/8 © 2004 Echlin et al; licensee BioMed Central Ltd. This is an open-access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract A 42 year-old male former semi-professional soccer player sustained a right lower extremity popliteal contusion during a soccer game. He was clinically diagnosed with a possible traumatic deep vein thrombosis (DVT), and sent for confirmatory tests. A duplex doppler ultrasound was positive for DVT, and the patient was admitted to hospital for anticoagulation (unfractionated heparin, warfarin). Upon discharge from hospital the patient continued oral warfarin anticoagulation (six months), and the use of compression stockings (nine months). He followed up with his family doctor at regular intervals for serial coagulation measurements, and ultrasound examinations. The patient's only identified major thrombotic risk factor was the traumatic injury. One year after the initial deep vein thrombosis (DVT) the patient returned to contact sport, however he continued to have intermittent symptoms of right lower leg pain and right knee effusion. Athletes can develop vascular injuries in a variety of contact and non-contact sports. Trauma is one of the most common causes of lower extremity deep vein thrombosis (DVT), however athletic injuries involving lower extremity traumatic DVT are seldom reported. This diagnosis and the asso
