Asymptomatic Deep Vein Thrombosis in a Patient with Major Depressive Disorder
Pulmonary embolism is a serious, life-threatening condition and most commonly derives from deep vein thrombosis of the lower extremities. Once deep vein thrombosis (DVT) reaches a proximal vein (i.e., popliteal vein or higher), pulmonary embolism reportedly occurs in up to 50% of patients. Case Pres...
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| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2012-01-01
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| Series: | Case Reports in Psychiatry |
| Online Access: | http://dx.doi.org/10.1155/2012/261251 |
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| author | Takuto Ishida Takeshi Katagiri Hiroyuki Uchida Takefumi Suzuki Koichiro Watanabe Masaru Mimura |
| author_facet | Takuto Ishida Takeshi Katagiri Hiroyuki Uchida Takefumi Suzuki Koichiro Watanabe Masaru Mimura |
| author_sort | Takuto Ishida |
| collection | DOAJ |
| description | Pulmonary embolism is a serious, life-threatening condition and most commonly derives from deep vein thrombosis of the lower extremities. Once deep vein thrombosis (DVT) reaches a proximal vein (i.e., popliteal vein or higher), pulmonary embolism reportedly occurs in up to 50% of patients. Case Presentation. We report on an inpatient with major depressive disorder in a catatonic state in whom an asymptomatic proximal deep vein thrombosis of 11 × 70 mm was detected through routine screening, using doppler ultrasound scanning. Anticoagulant therapy was immediately started and continued for three months, which resulted in resolution of the deep vein thrombosis. Discussion. To our knowledge, this is the first description of asymptomatic proximal DVT that was detected in a psychiatric inpatient setting. In light of the reported causal relationship between DVT and pulmonary embolism, screening for DVT can be of high clinical value in patients with psychiatric disorders, especially when their physical activity is highly compromised. |
| format | Article |
| id | doaj-art-f6e647cb5e8842c091f2d2aa042ee938 |
| institution | Kabale University |
| issn | 2090-682X 2090-6838 |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Psychiatry |
| spelling | doaj-art-f6e647cb5e8842c091f2d2aa042ee9382025-02-03T07:24:21ZengWileyCase Reports in Psychiatry2090-682X2090-68382012-01-01201210.1155/2012/261251261251Asymptomatic Deep Vein Thrombosis in a Patient with Major Depressive DisorderTakuto Ishida0Takeshi Katagiri1Hiroyuki Uchida2Takefumi Suzuki3Koichiro Watanabe4Masaru Mimura5Department of Psychiatry, Sakuragaoka Memorial Hospital, 1-1-1 Renkouji, Tama-shi, Tokyo 206-0021, JapanDepartment of Psychiatry, Sakuragaoka Memorial Hospital, 1-1-1 Renkouji, Tama-shi, Tokyo 206-0021, JapanDepartment of Neuropsychiatry, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo 160-8582, JapanDepartment of Neuropsychiatry, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo 160-8582, JapanDepartment of Neuropsychiatry, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo 160-8582, JapanDepartment of Neuropsychiatry, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo 160-8582, JapanPulmonary embolism is a serious, life-threatening condition and most commonly derives from deep vein thrombosis of the lower extremities. Once deep vein thrombosis (DVT) reaches a proximal vein (i.e., popliteal vein or higher), pulmonary embolism reportedly occurs in up to 50% of patients. Case Presentation. We report on an inpatient with major depressive disorder in a catatonic state in whom an asymptomatic proximal deep vein thrombosis of 11 × 70 mm was detected through routine screening, using doppler ultrasound scanning. Anticoagulant therapy was immediately started and continued for three months, which resulted in resolution of the deep vein thrombosis. Discussion. To our knowledge, this is the first description of asymptomatic proximal DVT that was detected in a psychiatric inpatient setting. In light of the reported causal relationship between DVT and pulmonary embolism, screening for DVT can be of high clinical value in patients with psychiatric disorders, especially when their physical activity is highly compromised.http://dx.doi.org/10.1155/2012/261251 |
| spellingShingle | Takuto Ishida Takeshi Katagiri Hiroyuki Uchida Takefumi Suzuki Koichiro Watanabe Masaru Mimura Asymptomatic Deep Vein Thrombosis in a Patient with Major Depressive Disorder Case Reports in Psychiatry |
| title | Asymptomatic Deep Vein Thrombosis in a Patient with Major Depressive Disorder |
| title_full | Asymptomatic Deep Vein Thrombosis in a Patient with Major Depressive Disorder |
| title_fullStr | Asymptomatic Deep Vein Thrombosis in a Patient with Major Depressive Disorder |
| title_full_unstemmed | Asymptomatic Deep Vein Thrombosis in a Patient with Major Depressive Disorder |
| title_short | Asymptomatic Deep Vein Thrombosis in a Patient with Major Depressive Disorder |
| title_sort | asymptomatic deep vein thrombosis in a patient with major depressive disorder |
| url | http://dx.doi.org/10.1155/2012/261251 |
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