Published: 13 January 2020
Author(s): Maria Alice Franzoi, Analu Vivian
Issue: January 2020
Section: Internal Medicine Flashcard

A 40-year-old man with metastatic colorectal cancer (peritoneum and lymph-node metastases) under therapy with palliative chemotherapy, with a previous history of deep venous thrombosis in the lower left leg complained to the assistant physicians of sudden worsening of the symptoms despite optimal anticoagulation with warfarin (International normalised ratio [INR]: 3,87). In the physical examination, the patient presented extreme pain followed by severe swelling, blue discoloration, and paresthesia in the lower left extremity (Fig. 1).


Stay informed on our latest news!


This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.