Case Report
 
Acute presentation of deep vein thrombosis in Achilles tendon rupture: A case report
Rafik Yassa1, Kiran Singh Kandola1, A Sharma1
1Registrar in Trauma and Orthopaedics, Trauma and Orthopaedic Department, Queen Elizabeth The Queen Mother hospital, St Peter's road, Margate, UK. CT9 4AN.

doi:10.5348/ijcri-2013-02-270-CR-4

Address correspondence to:
Rafik Yassa
Registrar in Trauma and Orthopaedics, Trauma and Orthopaedic department
Queen Elizabeth The Queen Mother hospital
St Peter's road, Margate
UK. CT9 4AN
Phone: 07956340789
Email: rafikragai@yahoo.com

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How to cite this article:
Yassa R, Singh Kandola K, Sharma A. Acute presentation of deep vein thrombosis in achilles tendon rupture: A case report. International Journal of Case Reports and Images 2013;4(2):99–102.


Abstract
Introduction: Rupture of the Achilles tendon is relatively common. High incidence of thromboembolism during the first eight weeks after Achilles tendon rupture has been reported in literature. The use of venous thromboembolism prophylaxis after an Achilles tendon rupture is controversial. Delayed deep vein thrombosis (DVT) is a well-known complication after operative and non-operative treatment of Achilles tendon rupture but it has not been reported as an acute presentation following achillies tendon rupture.
Case Report: We report a case of DVT presenting acutely after Achilles tendon rupture. It presented with soft clinical signs. High index of suspicion was required to diagnose DVT. The authors could not find similar association between the two clinical problems reported in literature.
Conclusion: We recommend that risk assessment should be undertaken in any patients following lower limb injury even if it is not a major injury and adequate thromboprophylaxis should be started according to the risk rating when deciding on immobilization of the lower limb.

Keywords: Achilles tendon, Rupture, Venous thrombosis


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Author Contributions
Rafik Yassa – Conception and design, Acquisition of data, Drafting the article, revising it critically for important intellectual content and final approval of the version to be published
Kiran Singh Kandola – Conception and design, Acquisition of data, Drafting the article, revising it critically for important intellectual content and final approval of the version to be published
A Sharma – Conception and design, Acquisition of data, Drafting the article, revising it critically for important intellectual content and final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© Rafik Yassa et al. 2013; This article is distributed the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.)