Anyone experienced Iliofemoral Deep Vein Thrombosis (DVT)?

Posted by penelope321 @penelope321, Nov 19, 2023

Has anyone ever experienced an iliofemoral DVT? I've been diagnosed with either a DVT in the left peroneal vein or a superficial thrombosis upper to mid calf in my greater saphenous vein depending on which radiologist I believe is correct. I have been experiencing fairly intense pain in my lower left abdominal/pelvic region and the left side of my vulva is enlarged and purple. The most troubling of all though is the fact that my left leg is a different color than my right. None of the doctor's that I have seen think anything is wrong! Can anyone offer any thoughts or next steps to pursue?

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Hi Penelope,

While I’ve not had that kind of dvt, I had a dvt in my calf in 2017. My leg had changed colors with red streaks. They put me on bed rest for a week & followed up with appointments. I recommend you get a 2nd opinion, maybe even go to urgent care today. You’re in my prayers & keep us posted.

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Could be a May-Thurner (google) variant, which requires aggressive thrombolysis/thrombectomy and stenting. And anticoagulation stat. At the very least, you need a CT w/ contrast of the proximal venous vasculature for definitive diagnosis. And this is generally treated at medical centers with experience in this sort of thing. The docs who are blowing you off are negligent, so far it seems. You're going to have to be a squeaky wheel until you get to the care you need.

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@bluesdoc

Could be a May-Thurner (google) variant, which requires aggressive thrombolysis/thrombectomy and stenting. And anticoagulation stat. At the very least, you need a CT w/ contrast of the proximal venous vasculature for definitive diagnosis. And this is generally treated at medical centers with experience in this sort of thing. The docs who are blowing you off are negligent, so far it seems. You're going to have to be a squeaky wheel until you get to the care you need.

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Been pretty squeaky so far but to no avail. Been to 2 different urgent cares, my PCP and my GI doctor-all they do is look for the ordinary and familiar. When I saw my GI he did a physical exam by squeezing my left hip once while I was sitting in a chair and declaring that there was no tenderness. That was it for my exam. My PCP (her PA actually) ordered a CT of abdomen and pelvis but without contrast and not stat. Saw her on Nov. 10th but have yet to get the scan done. Still waiting on my insurance company to call me back with an appointment day and time. The pain is really getting to me since it has been not good since Nov. 1st!

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This is NOT medical advice as you're not my patient.... but, I'd consider going to a medical center ER where you might be taken seriously. The delay in care/evaluation/tx you're experiencing is inexcusable.

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Finally got my CT scans done on Tuesday, Nov. 21st. Still waiting on results-yes-a week later. Ugh!

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<p>How do I get a 2nd opinion on a CT scan?</p><p>I had a CT of abdomen and pelvis done 10 days ago. I just got the report yesterday. (My PCP never did call me about the results.) Anyways, I know that several important things were missed because they were not noted in the report. How do I go about getting a second read of the scans-hopefully by someone that is better versed in the reading of the CTs?</p>

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@penelope321

<p>How do I get a 2nd opinion on a CT scan?</p><p>I had a CT of abdomen and pelvis done 10 days ago. I just got the report yesterday. (My PCP never did call me about the results.) Anyways, I know that several important things were missed because they were not noted in the report. How do I go about getting a second read of the scans-hopefully by someone that is better versed in the reading of the CTs?</p>

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Ask your PCP how to get a second opinion, OR even better, call the facility where the Ct was read, and ask that a second radiologist read the film at your request. They should do that, and may or may not put in a charge to your insurance.
Many items are seen on CT scans and X-rays, but radiologists may or may not comment on normal body parts.
Best of luck .

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@penelope321

<p>How do I get a 2nd opinion on a CT scan?</p><p>I had a CT of abdomen and pelvis done 10 days ago. I just got the report yesterday. (My PCP never did call me about the results.) Anyways, I know that several important things were missed because they were not noted in the report. How do I go about getting a second read of the scans-hopefully by someone that is better versed in the reading of the CTs?</p>

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@penelope321, I don't like to read those reports until I hear from my doctor. However, I must admit that I do it on occasion and come away confused. Having said that, I suggest that you schedule a follow-up appointment with the doctor who ordered the CT if one is not scheduled for you. He/she is the expert on your particular condition and has a reason for ordering the test.
I once had a CT in local ER for a possible injury after a fall, and the report did not mention a tiny kidney stone that was visible. The report focused attention on the injured area. Fortunately all was well as for the injury. Later when I visited my kidney transplant team for a routine check, they saw the kidney stone and acted on it.

Who ordered the CT scan? Do you have a follow-up appointment?

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@ladybug4joints

Ask your PCP how to get a second opinion, OR even better, call the facility where the Ct was read, and ask that a second radiologist read the film at your request. They should do that, and may or may not put in a charge to your insurance.
Many items are seen on CT scans and X-rays, but radiologists may or may not comment on normal body parts.
Best of luck .

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What I was referring to are not normal body parts. In previous CT scans they are mentioned especially since one of them is located in the area of concern. My doctor’s office did finally call today. And no my PCP is not the expert-PCPs only look for the usual and common. My two legs are different colors for goodness sake. This is not a normal thing especially since it was sudden and painful onset.

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@penelope321

<p>How do I get a 2nd opinion on a CT scan?</p><p>I had a CT of abdomen and pelvis done 10 days ago. I just got the report yesterday. (My PCP never did call me about the results.) Anyways, I know that several important things were missed because they were not noted in the report. How do I go about getting a second read of the scans-hopefully by someone that is better versed in the reading of the CTs?</p>

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I would go to a specialist. Perhaps a gastroenterologist? If you are connnected to "MyChart" or other online medical website connected with your doctor, the specialist will be able to pull up your scans and look at them. I wish you the best and praying for you. It's a different day in that we have to be our on advocate a lot of times.

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