A child with intravascular fasciitis mimicking deep vein thrombosis: a case report
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Date
2024
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Abstract
Background. Intravascular fasciitis (IF) is a benign, reactive, myofibroblastic proliferation that originates from the superficial or deep fascia of small / medium-sized arteries and veins. Case Report. An 8-year-old male patient was admitted to a health center with the complaint of swelling in the inguinal region. Lower extremity venous Doppler ultrasonography showed deep vein thrombosis (DVT) of the femoral vein and anticoagulation with low-molecular weight heparin (LMWH) was initiated. The patient was referred to our center for follow-up. The D-dimer level was detected within normal limits. Doppler ultrasonography was repeated and showed an intraluminal expanding mass lesion with increasing vascularity, without distinct borders and LMWH was discontinued. This lesion at the sapheno-femoral junction was excised surgically and the histopathological examination revealed intravascular fasciitis. Conclusion. Clinicians should be aware that the clinical findings of IF may mimic sarcoma and thrombosis. © 2024, Turkish National Pediatric Society. All rights reserved.
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Child , Fasciitis , Femoral Vein , Heparin, Low-Molecular-Weight , Humans , Male , Thrombosis , Venous Thrombosis , D dimer , low molecular weight heparin , anticoagulant therapy , Article , case report , child , clinical article , deep vein thrombosis , Doppler ultrasonography , drug withdrawal , fasciitis , femoral vein , follow up , histopathology , human , human tissue , inguinal region , intravascular fasciitis , male , nuclear magnetic resonance imaging , physical examination , school child , swelling , vascularization , diagnostic imaging , fasciitis , thrombosis , vein thrombosis