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Abstract
The incidence of venous thromboses in peripheral veins is much higher than ordinarily
suspected. Four groups of venous thromboses, namely, the superficial venous thrombosis,
the ascending plantar vein thrombosis, the calf muscle thrombosis, and the pelvic
vein thrombosis, can be recognized as being the primary sources of clotting. Any one
of these may produce, by propagation, an iliofemoral thrombosis, the classic milk
leg. The treatment of such thromboses should vary according to the primary site, the
extent and the age of the thrombosis. Anticoagulant therapy, paravertebral sympathetic
block, proximal venous ligation, and roentgen-ray therapy all have their indications
but should be used selectively. Visualization of the venous system by opaque substances
may be used occasionally but its routine use does not seem necessary. Pulmonary embolism
is still often the earliest manifestation of an unrecognized thrombus in the periphery;
its appearance calls for emergency measures and, following the recovery of the patient,
for a thorough investigation of the source of the embolus, since recurrent emboli
are increasingly dangerous. Early attention must be paid to the elimination of clotted
plasma from the thrombophlebitic leg, since much permanent disability may result from
this source.
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Article info
Publication history
Received:
August 21,
1944
Identification
Copyright
© 1945 Published by Elsevier Inc.
