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Updated on December 20, 2024

Popliteal Artery Occlusion Co-existing with Popliteal Vein DVT

Clinical History

A 92-year old lady presented with pain and swelling in the right leg. The WELLS score was 2 upon an initial specialist clinical assessment. Doppler ultrasound of the lower limb veins was requested to rule out deep venous thrombosis (DVT).

Case Description

Ultrasound revealed the presence of an occlusive thrombus in the popliteal vein. There was also an occluded superficial femoral artery (SFA). However, the popliteal artery was patent.

Diagnosis/ Discussion/ Treatment/ Follow up

The patient was referred urgently to vascular surgery for further management. Unfortunately, the patient passed away

Sonograms

Patent right common femoral artery
Partially occluded right superficial femoral artery (proximal)
Partially occluded right superficial femoral artery (proximal)
Partially occluded right superficial femoral artery (mid)
Partially occluded right superficial femoral artery (mid)
Partially occluded right superficial femoral artery (distal)

Partially occluded right superficial femoral artery (distal)
Colour Doppler imaging of the distal right superficial femoral artery showing some distal patency towards the popliteal artery
Colour Doppler imaging of the distal right superficial femoral artery showing some distal patency towards the popliteal artery
Patent right popliteal artery
Patent right popliteal artery
Occluded right popliteal vein containing thrombus (blood clot), in keeping with deep venous thrombosis (DVT)
Occluded right popliteal vein containing thrombus (blood clot), in keeping with deep venous thrombosis (DVT)
Axial orientation of the right popliteal vein showing occlusion (artery occlusion), and the patent artery posteriorly
Axial orientation of the right popliteal vein showing occlusion, and the patent artery posteriorly

Published on: October 4, 2024

Author

Sonohive

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