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March 1, 2015Journal of the American Geriatrics SocietyOpen Access

An Unusual Cause of Bilateral Lower Extremity Edema in an Older Woman

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Population

An 84-year-old woman presenting with weakness, anorexia, weight loss, increasing bilateral lower extremity…

Design

Case_report

Follow-up

3 years

Authors

LPLauriane PoliMLMartin Zarate LagunesJRJean‐Luc Reny

Discussion

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Overview

May warrant imaging for hepatic cyst compression in refractory DVT; case report leaves open confirmation in larger studies.

Structured PICO

P
Population
An 84-year-old woman presenting with weakness, anorexia, weight loss, increasing bilateral lower extremity edema, nausea, vomiting, and left leg pain, with a history of endometrial sarcoma, left arm thrombosis, mild chronic renal failure, hypertension, chronic depression, and irritable bowel syndrome.
I
Intervention
Cyst paracentesis under ultrasound guidance followed by cyst sclerosis (5 days of drainage and Betadine washes) and anticoagulation (parenteral heparin switched to oral acenocoumarol).
O
Outcome
Resolution of symptoms (nausea, vomiting, edema) and regression of deep vein thrombosis.

Extrinsic mechanical compression by a hepatic cyst is a rare but plausible cause of deep vein thrombosis that requires prompt imaging and relief of compression when clinical response to anticoagulation is poor.

Cite This Study

Poli et al. (2015) studied this question.

synapsesocial.com/papers/6a7d40a07786afdcaca00ae2https://doi.org/10.1111/jgs.13302
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