A child with intravascular fasciitis mimicking deep vein thrombosis: a case report

Background. Intravascular fasciitis (IF) is a benign, reactive, myofibroblastic proliferation that originates from the superficial or deep fascia of small / medium-sized arteries and veins. Case Report. An 8-year-old male patient was admitted to a health center with the complaint of swelling in...

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Main Authors: Yeşim Yiğit, Oğuzhan Erdoğan, Ayşen Türedi Yıldırım, Erdener Özer, Hüseyin Gülen
Format: Article
Language:English
Published: Hacettepe University Institute of Child Health 2024-02-01
Series:The Turkish Journal of Pediatrics
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Online Access:https://turkjpediatr.org/article/view/5112
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author Yeşim Yiğit
Oğuzhan Erdoğan
Ayşen Türedi Yıldırım
Erdener Özer
Hüseyin Gülen
author_facet Yeşim Yiğit
Oğuzhan Erdoğan
Ayşen Türedi Yıldırım
Erdener Özer
Hüseyin Gülen
author_sort Yeşim Yiğit
collection DOAJ
description Background. Intravascular fasciitis (IF) is a benign, reactive, myofibroblastic proliferation that originates from the superficial or deep fascia of small / medium-sized arteries and veins. Case Report. An 8-year-old male patient was admitted to a health center with the complaint of swelling in the inguinal region. Lower extremity venous Doppler ultrasonography showed deep vein thrombosis (DVT) of the femoral vein and anticoagulation with low-molecular weight heparin (LMWH) was initiated. The patient was referred to our center for follow-up. The D-dimer level was detected within normal limits. Doppler ultrasonography was repeated and showed an intraluminal expanding mass lesion with increasing vascularity, without distinct borders and LMWH was discontinued. This lesion at the sapheno-femoral junction was excised surgically and the histopathological examination revealed intravascular fasciitis. Conclusion. Clinicians should be aware that the clinical findings of IF may mimic sarcoma and thrombosis.
format Article
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institution DOAJ
issn 0041-4301
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language English
publishDate 2024-02-01
publisher Hacettepe University Institute of Child Health
record_format Article
series The Turkish Journal of Pediatrics
spelling doaj-art-79ae1dce818542adaa37ab3bf3da00812025-08-20T02:55:40ZengHacettepe University Institute of Child HealthThe Turkish Journal of Pediatrics0041-43012791-64212024-02-0166110.24953/turkjped.2023.442A child with intravascular fasciitis mimicking deep vein thrombosis: a case reportYeşim Yiğit0https://orcid.org/0000-0002-0255-1266Oğuzhan Erdoğan1https://orcid.org/0000-0002-6868-3130Ayşen Türedi Yıldırım2https://orcid.org/0000-0002-4451-5108Erdener Özer3https://orcid.org/0000-0001-5743-5222Hüseyin Gülen4https://orcid.org/0000-0002-5374-4957Department of Pediatric Hematology and Oncology, School of Medicine, Manisa Celal Bayar University, Manisa, TürkiyeDepartment of Medical Pathology, School of Medicine, Dokuz Eylül University, İzmir, TürkiyeDepartment of Pediatric Hematology and Oncology, School of Medicine, Manisa Celal Bayar University, Manisa, TürkiyeDepartment of Medical Pathology, School of Medicine, Dokuz Eylül University, İzmir, TürkiyeDepartment of Pediatric Hematology and Oncology, School of Medicine, Manisa Celal Bayar University, Manisa, Türkiye Background. Intravascular fasciitis (IF) is a benign, reactive, myofibroblastic proliferation that originates from the superficial or deep fascia of small / medium-sized arteries and veins. Case Report. An 8-year-old male patient was admitted to a health center with the complaint of swelling in the inguinal region. Lower extremity venous Doppler ultrasonography showed deep vein thrombosis (DVT) of the femoral vein and anticoagulation with low-molecular weight heparin (LMWH) was initiated. The patient was referred to our center for follow-up. The D-dimer level was detected within normal limits. Doppler ultrasonography was repeated and showed an intraluminal expanding mass lesion with increasing vascularity, without distinct borders and LMWH was discontinued. This lesion at the sapheno-femoral junction was excised surgically and the histopathological examination revealed intravascular fasciitis. Conclusion. Clinicians should be aware that the clinical findings of IF may mimic sarcoma and thrombosis. https://turkjpediatr.org/article/view/5112fasciitisintravascular fasciitisthrombus
spellingShingle Yeşim Yiğit
Oğuzhan Erdoğan
Ayşen Türedi Yıldırım
Erdener Özer
Hüseyin Gülen
A child with intravascular fasciitis mimicking deep vein thrombosis: a case report
The Turkish Journal of Pediatrics
fasciitis
intravascular fasciitis
thrombus
title A child with intravascular fasciitis mimicking deep vein thrombosis: a case report
title_full A child with intravascular fasciitis mimicking deep vein thrombosis: a case report
title_fullStr A child with intravascular fasciitis mimicking deep vein thrombosis: a case report
title_full_unstemmed A child with intravascular fasciitis mimicking deep vein thrombosis: a case report
title_short A child with intravascular fasciitis mimicking deep vein thrombosis: a case report
title_sort child with intravascular fasciitis mimicking deep vein thrombosis a case report
topic fasciitis
intravascular fasciitis
thrombus
url https://turkjpediatr.org/article/view/5112
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