Occupational suspension and extensive iliocaval thrombosis in a young man with multiple thrombotic risk factors: a case report
Abstract
Extensive deep vein thrombosis in a young patient warrants thorough investigation of potential predisposing factors, including genetic, anatomical, and acquired conditions. Occupational history should also be considered, as prolonged suspension work using ropes may contribute to venous thrombosis. We report the case of a 30-year-old man with extensive deep vein thrombosis. His history revealed active smoking, heterozygosity for Factor V Leiden and the MTHFR variant, and prolonged occupational suspension. CT imaging showed venous wall abnormalities and collateral circulation, suggesting a possible underlying chronic venous disorder. Given the extent and persistence of thrombosis despite anticoagulant therapy, catheter-directed thrombus aspiration and venous angioplasty were performed, resulting in progressive clinical improvement. This case highlights prolonged occupational suspension as a possible contributing factor to thrombosis and suggests that the interaction between genetic predisposition, underlying venous abnormalities, and mechanical factors may contribute to severe and unusual thrombotic events in young individuals requiring careful diagnostic evaluation.
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BibTeX
@article{patrizio2026occupational,
title = {{Occupational suspension and extensive iliocaval thrombosis in a young man with multiple thrombotic risk factors: a case report}},
author = {Elena Patrizio and Kistaman Dagirova and Enrico Ferri and Pasquale Pignatelli and Aldo Taranto},
journal = {Emergency Care Journal},
year = {2026},
month = nov,
doi = {10.4081/ecj.2026.15919},
url = {https://doi.org/10.4081/ecj.2026.15919},
note = {CC BY-NC},
}
RIS
TY - JOUR
TI - Occupational suspension and extensive iliocaval thrombosis in a young man with multiple thrombotic risk factors: a case report
AU - Elena Patrizio
AU - Kistaman Dagirova
AU - Enrico Ferri
AU - Pasquale Pignatelli
AU - Aldo Taranto
PY - 2026
DA - 2026/11/07
JO - Emergency Care Journal
DO - 10.4081/ecj.2026.15919
UR - https://doi.org/10.4081/ecj.2026.15919
AB - Extensive deep vein thrombosis in a young patient warrants thorough investigation of potential predisposing factors, including genetic, anatomical, and acquired conditions. Occupational history should also be considered, as prolonged suspension work using ropes may contribute to venous thrombosis. We report the case of a 30-year-old man with extensive deep vein thrombosis. His history revealed active smoking, heterozygosity for Factor V Leiden and the MTHFR variant, and prolonged occupational suspension. CT imaging showed venous wall abnormalities and collateral circulation, suggesting a possible underlying chronic venous disorder. Given the extent and persistence of thrombosis despite anticoagulant therapy, catheter-directed thrombus aspiration and venous angioplasty were performed, resulting in progressive clinical improvement. This case highlights prolonged occupational suspension as a possible contributing factor to thrombosis and suggests that the interaction between genetic predisposition, underlying venous abnormalities, and mechanical factors may contribute to severe and unusual thrombotic events in young individuals requiring careful diagnostic evaluation.
SN - 2282-2054
SN - 1826-9826
ER -