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Last updated: June 18, 2025View editorial policy

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Differential Diagnosis for Nonocclusive Thrombus within the Mid Left Superficial Femoral Vein

  • Single most likely diagnosis
    • Deep Vein Thrombosis (DVT): This is the most likely diagnosis given the presence of a nonocclusive thrombus within the superficial femoral vein. DVTs are common and can be caused by a variety of factors including immobility, trauma, cancer, and genetic predispositions.
  • Other Likely diagnoses
    • Post-Thrombotic Syndrome: This condition can occur after a DVT and is characterized by chronic symptoms such as swelling, pain, and skin discoloration in the affected limb.
    • Venous Insufficiency: This condition occurs when the veins have problems returning blood to the heart due to valve problems or blockage, which can lead to symptoms similar to those of DVT.
    • Superficial Phlebitis: Inflammation of a superficial vein, which can cause pain, swelling, and redness, but is less likely to cause a nonocclusive thrombus in the superficial femoral vein.
  • Do Not Miss diagnoses
    • Pulmonary Embolism (PE): Although less likely, a nonocclusive thrombus can break loose and travel to the lungs, causing a potentially life-threatening PE. It's crucial to monitor for symptoms such as shortness of breath or chest pain.
    • Phlegmasia Cerulea Dolens: A rare but severe condition characterized by massive venous thrombosis, which can lead to limb ischemia and potentially gangrene if not promptly treated.
  • Rare diagnoses
    • Tumoral Thrombus: A rare condition where a tumor grows within the vein and can cause thrombosis.
    • Venous Thoracic Outlet Syndrome: Compression of the subclavian vein between the clavicle and first rib, which can lead to thrombosis, but is less common in the superficial femoral vein.
    • Antithrombin III Deficiency: A rare genetic disorder that increases the risk of thrombosis due to a deficiency in antithrombin III, a protein that helps regulate blood clotting.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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