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Trousseau s Syndrome Causing Refractory Deep Venous Thrombosis
#MMPMID29225244
Mizoguchi S
; Sawai T
; Hirota A
; Yamamoto S
; Nakajima H
; Makino K
; Takase K
; Ito M
Intern Med
2018[Feb]; 57
(4
): 623-626
PMID29225244
show ga
A 66-year-old man, who had been diagnosed with deep venous thrombosis (DVT), and
who was treated with a vitamin K antagonist (VKA) and who had undergone the
implantation of an inferior vena cava filter, was admitted due to an exacerbation
of DVT. VKA was administered again; however, the patient's DVT worsened. Further
examinations revealed colon cancer, which led to a diagnosis of Trousseau's
syndrome. The regression of the thrombi was confirmed after the administration of
heparin and the resection of the tumors. Trousseau's syndrome should always be
kept in mind when patients present with refractory venous thrombosis. The
administration of heparin, and cancer control are necessary for the effective
treatment of thrombosis in such cases.