Paraspinal and Iliopsoas Edema as a Marker of an Iliofemoral Thrombosis: Case Series Report

Isolated paraspinal and iliopsoas edema is a rare MRI finding that may occur in a wide variety of conditions. Some of them do not need emergency care and could be well diagnosed by additional symptoms. Isolated thrombosis of iliac veins is a life-threatening condition that may cause pulmonary embolism, leg gangrene or post thrombotic syndrome if not recognized in early stages. In this case series report authors describe two cases when MRI findings of paraspinal and iliopsoas muscles edema was crucial for diagnosis of isolated iliac vein thrombosis before complications occur

Isolated iliac thrombosis (IIT) is a condition associated with increased risk of severe complications, such as pulmonary embolism or leg gangrene. Most common symptoms of iliac thrombosis are leg pain, swelling of the entire leg, and may be associated with back pain, abdomen and flank pain. In some cases, described patients do not have all range of symptoms that significantly impede the diagnostics of this condition, for example, there are some cases when IIT debuted with only abdominal pain that lead to misdiagnosis and even surgical interventions.1 In this report authors describe two cases of unsuspected IIT with non-typical complaints that mimic lumboischialgie and that was revealed after lumbar MRI findings.

https://www.stephypublishers.com/sojor/pdf/SOJOR.MS.ID.000505.pdf


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