Running The Distance For A Diagnosis - Page #3
 

Other Studies:
XR for lumbar spine, foot, hip, tib/fib: normal <br> <br>LS MRI: showed mild L5-S1 bilateral facet arthropathy w/o canal or foraminal stenosis. <br> <br>EMG/NCS: normal LLE <br> <br>Bilateral ABI US: normal. <br> <br>CTA AA: large parauterine veins (L>R). L ovarian vein enlarged indicative of pelvic congestion syndrome. 3 vessel runoff was normal bilaterally w/ no acute findings in abdomen or pelvis. <a href="CaseStudyImages/CS1RunningTheDistanc-982.jpg" title="Case Photo #1" data-lity><b>Case Photo #1</b></a> <br> <br>Lower extremity duplex US: showed decreased flow in L common iliac vein due to compression by R common iliac artery. Negative for DVT. <a href="CaseStudyImages/CS2CS1RunningTheDist-982.jpg" title="Case Photo #2" data-lity><b>Case Photo #2</b></a> <a href="CaseStudyImages/CS3CS2CS1RunningTheD-982.jpg" title="Case Photo #3" data-lity><b>Case Photo #3</b></a> <a href="CaseStudyImages/CS4CS3CS2CS1RunningT-982.jpg" title="Case Photo #4" data-lity><b>Case Photo #4</b></a> <a href="CaseStudyImages/CS5CS4CS3CS2CS1Runni-982.jpg" title="Case Photo #5" data-lity><b>Case Photo #5</b></a>

Consultations:
Worsening symptoms with exercise hinted at exertional compartment syndrome, but Orthopedics consult did not feel her symptoms were consistent. <br> <br>A diagnosis of pelvic congestion syndrome was made on CT, but OB-GYN was consulted and did not believe it was the cause of the patient's LLE symptoms.

Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.


NOTE: For more information, please contact the AMSSM, 4000 W. 114th Street, Suite 100, Leawood, KS 66211 (913) 327-1415.
 

© The American Medical Society for Sports Medicine
4000 W. 114th Street, Suite 100
Leawood, KS 66211
Phone: 913.327.1415


Website created by the computer geek