Expose several cases of plantar vein thrombosis,
displaying the different MRI findings with and without contrast media,
emphasizing that in all of them the clinical suspicions were different,
since other differential diagnoses are much more common.
Plantar vein thrombosis is a poorly remembered diagnosis in the clinical context of foot pain,
considered infrequent in medical literature,
probably because it is neglected and underdiagnosed in clinical and radiological practice.
Phlebography with protocols including foot veins showed that plantar vein thrombosis could be common,
may cause pulmonary embolism,
and that the venous thrombus may start in the plantar veins and spread proximally to the leg. Many patients first seek an...
Findings and procedure details
We retrospectively analyzed twenty three cases of plantar thrombosis diagnosed in our service through MRI between 2013 and 2017.
Patient ages ranged from 33 to 79 years.
Some clinical suspicions were of plantar fasciitis,
posterior tibial tendon insufficiency and Morton's neuroma.
The compromised venous segments were the plantar lateral,
plantar metatarsal (figures 2 and 3),
plantar arch (figure 4) and digital veins (figure 5).
One patient had bilateral involvement (figure...
Plantar thrombosis has non-specific,
painful clinical symptomatology and is probably more common than currently believed.
Radiologists should know their imaging findings and actively always seek for perivascular edema,
virtually present in all cases.
A phlebographic study of the incidence and significance of venous thrombosis in the foot.
AJR Am J Roentegenol.1978 Apr;130(4):751-4. Czihal M et al.
Clinical characteristics and course of plantar vein thrombosis: a series of 22 cases.
2015 Dec;30(10):714-8. Barros MVL et al.
Plantar vein thrombosis and pulmonary embolism.
2015 Dec;30(1):66-69. Geiger C et al.
Plantar vein thrombosis due to busy night duty on intensive care unit.
Clin Appl Thromb...