Plantar vein thrombosis

Case contributed by Dr Abraão Kupske

Presentation

Local foot pain of recent onset.

Patient Data

Age: 45 years
Gender: Female
MRI

Small elongated formation, located in soft tissues in the plantar portion of the second intermetatarsal space, at the level of the metatarsal heads. A punctate image hyperintense on T1 and isointense on DP is identified in the central portion of the lesion.  Contrast enhanced T1-weighted sequence shows intraluminal filling defect and perivascular enhancement.

Annotated image

Annotated images.

Case Discussion

Generally, the lateral plantar vein is most affected (in 96% of cases), followed by the middle plantar vein.1

Several causal factors are speculated, among them trauma, paraneoplastic syndromes, post-operative conditions, thrombophilias, use of contraceptive drugs, immobilization and HIV infection. However, most cases are classified as being idiopathic

Although relatively rare, plantar vein thrombosis should be considered in the differential diagnostic list of plantar pain, particularly in the appropriate clinical setting. 

First, we must consider the most common causes of pain, such as plantar fasciitis, tendinous involvementbursitisMorton’s neuromastress fracturessesamoiditis and ganglion cysts.

There is no defined treatment.

 

 

 

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Case information

rID: 57507
Published: 3rd Feb 2018
Last edited: 3rd Feb 2018
Inclusion in quiz mode: Excluded
Institution: Hospital Moinhos de Vento

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