Abdominal vein thrombosis secondary to syphilis in an adolescent

Abstract

We present an adolescent with syphilis secondary thrombosis extending from the bilateral renal veins to the inferior vena cava. A 16-year-old male patient presented to the emergency department with severe abdominal and back pain for 12 hours. Abdominal ultrasonography was performed for the differential diagnosis of acute abdomen, and the radiologist reported chronic thrombus occluded the inferior vena cava, the main iliac veins on both sides, and the proximal part of the external iliac veins, starting at the level of the renal veins. It was learned from his clinical history that he had fever every two to three days for about a month. The case, who learned that she had sexual intercourse with a sex worker about two years ago, was screened for sexually transmitted diseases and the western blot test was positive for syphilis. Warfarin was started on the 5th day of heparin treatment and recanalization was observed in the control Doppler USG at the fourth week.

Keywords

• çocukluk çağı
• sifiliz
• varfarin
• childhood
• syphilis
• thrombosis
• warfarin