A Case Report of Ascending Thrombophlebitis of Long Saphenous Vein with Asymptomatic Pulmonary Embolism

Abstract

A 69-year-old woman was admitted to the hospital under a diagnosis of ascending thrombophlebitis of left great saphenous vein and underwent an emergency surgery on the same day. In the operation, venous thrombectomy was performed in the vein after a high ligation of the sapheno-femoral junction. An elective stripping of the vein was added thereafter. Although she was discharged from the hospital at the third day after the operation with no symptoms, a postoperative pulmonary perfusion scintigraphy showed an asymptomatic multiple pulmonary embolism in the bilateral lung. Because the ascending thrombophlebitis often causes the pulmonary thromboembolism and the deep vein thrombosis, it is necessary to perform an operation or an anticoagulation as soon as possible.