Femoral triangle tenderness
Introduction
Introduction -femoral venous thrombophlebitis is an acute onset, high fever and general malaise can occur first, and swelling and pain in the abdomen and thighs on one side within a few hours, the skin color is white, even purpura, skin temperature rises, swelling can be From the lower abdomen, under the buttocks to the entire affected limb, the inner thigh area of the thigh has obvious tenderness.
Cause
Cause
More by long-term, sedentary, postpartum, abdominal or pelvic surgery, trauma and other post-braking, stagnation of blood and blood, or traumatic surgery to damage the veins, blood and blood flow is not smooth, resulting in blood stasis in the collaterals, collaterals It can't be plugged, the blood flow backflow is blocked from the pulse, and the lower limbs are flowed.
Examine
an examination
Related inspection
Angiography
Swelling and pain from the roots of the thighs, the trigeminal area is often accompanied by tenderness, and the entire lower extremity is swollen.
Color Doppler ultrasound: signs of iliac vein thrombosis, blood flow signal disappeared.
Diagnosis
Differential diagnosis
Several common deep phlebitis:
1. Calf muscle venous plexus thrombophlebitis
Main features: swelling of the calf and pain in the deep muscles of the intestines. Intravenous color Doppler ultrasound examination, sometimes visible thrombosis signs in the deep veins of the calf.
2. Venous thrombophlebitis
Features: The calf is swollen, bloated, and painful. There may be tenderness in the back of the knee joint. Color ultrasound can be seen:? Venous thrombosis signs, blood flow signals disappear.
3. Inferior vena cava thrombophlebitis
More common in one side of venous thrombosis, mistreatment, thrombosis up to the inferior vena cava or deep vein thrombosis after placement of the filter or after thrombectomy. Features: Both lower limbs and lower abdomen swell and swell. Color ultrasound is visible: there are signs of thrombosis in the inferior vena cava, occasionally ascites.
4. Hepatic portal vein thrombophlebitis (including Budd-Chiari syndrome)
Features: abdominal fullness or with ascites, abdominal varicose veins, edema of both lower extremities and abnormal liver function. Color ultrasound can be seen: liver left and right venous thrombosis signs and portal vein thrombosis, liver and splenomegaly.
5 upper extremity deep vein thrombophlebitis
Features: sudden swelling and pain in the upper limbs. Color super visible: upper extremity deep vein thrombosis and corresponding site compression.
