Calf strain resulting in deep venous thrombosis – a case study
More details
Hide details
Institute of Plant Genetics, Breeding and Biotechnology, University of Life Sciences in Lublin, Poland
Department of Allergology and Environmental Hazards, Institute of Rural Health in Lublin, Poland.
Department of Biotechnology, Human Nutrition and Food Commodity Science, University of Life Sciences in Lublin, Poland
Corresponding author
Marta Tomczyńska-Mleko   

Institute of Plant Genetics, Breeding and Biotechnology, University of Life Sciences in Lublin, Poland
J Pre Clin Clin Res. 2013;7(2):129-132
Introduction. Deep venous thrombosis (DVT) of the leg is a frequent clinical problem that afflicts thousands of people each year. However, little is known about DVT formation after muscle injury. The purpose of this study was to investigate an unusual case of DVT in Polish male patient and assess the risks factors for DVT. Methods. Deep vein thrombosis was diagnosed in a patient by compressions ultrasound with Doppler; atrial fibrillation was verified with electrocardiography. All standard risk factors were also assessed in examination of the medical and social history of patient. Results. The study showed that a recent major trauma, atrial fibrillation, air travel (‘economy class syndrome’), vigorous exercise, and warm water bathing were the probable factors for developing thrombosis in the patient. There was no recanalization of the affected venous segments after 24 days follow-up period. Conclusions. This case study supports the opinion that careful verifying, medical and social history and clinical reasoning in all patients with limb pain are very important in good assessment of thrombosis, as in even young, apparently healthy patients, thromboembolism can occur. Failure of the physician to recognize a vascular injury can elicit many complications and even cause sudden death. It is especially important in rural areas because farm work increases risks of legs injuries.
Adams M, Williams A, Fell J. Exercise in the Fight Against Thrombosis: Friend or Foe? Semin Thromb Hemost. 2009; 35: 261–268.
Adams M, Fell J, Williams A. Exercise causing thrombosis. Phys Sportsmed. 2009; 37: 124–30.
Ziegler S, Schillinger M, Maca TH, Minar E. Post-thrombotic Syndrome After Primary Event of Deep Venous Thrombosis 10 to 20 Years Ago. Thromb Res. 2001; 101: 23–33.
Kahn SR, Shrier I, Kearon C. Physical activity in patients with deep venous thrombosis: A systematic review. Thromb Res. 2008; 122: 763–773.
Kahn SR, Azoulay L, Hirsch A, Haber M, Strulovitch C, Shrier I. Acute Effects of Exercise in Patients With Previous Deep Venous Thrombosis: Impact of the Postthrombotic Syndrome. Chest. 2003; 123: 399–405.
Isma N, Johanssson E, Björk A, Björgell O, Robertson F, Mattiasson I, Gottsäter A, Lindblad B. Does supervised exercise after deep venous thrombosis improve.
recanalization of occluded vein segments? A randomized study. J Thromb Thrombolysis. 2007; 23: 25–30.
Taylor AJ. Deep vein thrombosis following calf strain: a case study. Phys Ther Sport. 2002; 3: 110–113.
Żylna choroba zakrzepowo-zatorowa w praktyce lekarza rodzinnego. Forum Med Rodz. 2007; 1: 115–123 (in Polish).
Echlin PS, Upshur REG, McKeag DB, Jayatilake HP. Traumatic deep vein thrombosis in a soccer player: A case study. Thromb J. 2004; 2: 8.
Noel P, Gregoire F, Capon A, Lehert P. Atrial fibrillation as a risk factor for deep venous thrombosis and pulmonary emboli in stroke patients. Stroke. 1991; 22: 760–762.
Hanke AA, Staib A, Goerlinger K, Perrey M, Dirkmann D, Kienbaum P. Whole blood coagulation and platelet activation in the athlete: a comparison of marathon, triathlon and long distance cycling. Eur J Med Res. 2010; 15: 59–65.
Fremont B, Pacouret G, de Labriolle A, Magdelaine B, Puglisi R, Charbonnier B. Exercise deep venous thrombosis: myth or reality? About three cases of pulmonary embolism in long-distance runners. Arch Mal Coeur Vaiss. 2007; 100: 519–523.
Lippi G, Maffulli N. Biological influence of physical exercise on hemostasis. Semin Thromb Hemost. 2009; 35: 257–259.
Madarame H, Kurano M, Takano H, Iida H, Sato Y, Ohshima H, Abe T, Ishii N, Morita T, Nakajima T. Effects of low-intensity resistance exercise with blood flow restriction on coagulation system in healthy subjects. Clin Physiol Funct Imaging. 2010; 30: 210–213.
Zwart B, Van Kerkvoorde TC, Van Werkum JW, Breet NJ, Ten Berg JM, Van ‘T Hof AWJ. Vigorous exercise as a triggering mechanism for late stent thrombosis: A description of three cases. Platelets. 2010; 21: 72–76.
Nagelkirk PR, Scalzo R, Harber M, Kaminsky LA. The Influence of Acute Resistance Training and Body Composition on Coagulation and Fibrinolytic Activity in Low-Risk Women. Int J Sports Med. 2010; 31: 458–462.
Boldt LH, Fraszl W, Roker L, Schefold JC, Steinach M, Noack T, Gunga HC. Changes in the haemostatic system after thermoneutral and hyperthermic water immersion. Eur J Appl Physiol. 2008; 102: 547–554.
van Stralen KJ, Le Cessie S, Rosendaal FR, Doggen CJM. Regular sports activities decrease the risk of venous thrombosis. J Throm Haem. 2007; 5: 2186–2192.
Shrier I, Kahn SR, Steele RJ. Effect of Early Physical Activity on Long- Term Outcome After Venous Thrombosis. Clin J Sport Med. 2009; 19: 487–493.
Journals System - logo
Scroll to top