VARICOSE DISEASE OF THE LOWER EXTREMITIES WITH A COMPLICATION OF PULMONARY EMBOLISM—CASE REPORT WITH CLINICOPATHOLOGIC FEATURES AND REVIEW OF THE LITERATURE

Sadykova Dinara Yerzhanovna and Otegenova Aruzhan Muratkyzy*

ABSTRACT

Slowdown and disruption (swirl) of blood flow create favorable conditions for the loss of platelets from the bloodstream and sticking to the endothelium at the site of its damage.[1] A significantly more frequent (5 times) occurrence of blood clots can be associated with a slowdown in blood flow. Althouth in the veins compared to those in the arteries, the frequent occurrence of blood clots in the veins of the legs, especially the legs, in areas of varicose veins, and in aneurysms of the heart and blood vessels. We report a case in which symptoms were localized to various body parts, beginning with post-traumatic pain over varicosities in the lower extremities, moving sequentially over the course of a month to the knee, hip, back, abdomen, and chest, eventually manifesting as syncope. Despite a low pretest clinical probability, a rapid identification of a massive bilateral pulmonary embolism that ultimately resulted in a troponin leak was made thanks to a very high index of suspicion.[5] The etiology is strongly suggestive of a thrombus that developed in the leg vessels as a result of trauma over varicose veins. This case illustrates the significance of taking trauma to varicosities into account as a risk factor for embolism when the clinical picture is alarming but other PE symptoms and signs are not immediately evident.

Keywords: Varicose disease, Pulmonary embolism.