Longitudinal US image of the antecubital fossa shows an echogenic clot in the basilic vein (arrows).
Facts: Superficial Thrombophlebitis
- Also known as superficial venous thrombosis
- Presence of thrombus in the lumen of superficial vein, followed by inflammation of the wall and adjacent tissues
- Variable degree of severity, can be in small venous tributaries but can extend into deep veins or, uncommonly, result in pulmonary embolism
- Related to Virchow's triad
- Prodromes of many systemic diseases (neoplasm, arteriopathy, collagen vascular disease) and syndromes (Trousseau, Mondor disease, Lemierre, Buerger disease)
Imaging
- Color Doppler US provides definitive diagnosis by showing clot, uncompressibility, absence of flow
Reference:
Sobreira ML, Yoshida WB, Lastoria S. Superficial thrombophlebitis: epidemiology, physiopathology, diagnosis and treatment. J Vasc Bras 2008;7. Available here.
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