Isabela Rodrigues Tavares et al. Maria Cristina Miranda Ana Claudia Gomes Pereira Petisco Daniela Souto Barros … Caio Buscatti Folino Vitor Leonidas Boher Dornas Mohamed Hassan Saleh Fábio Henrique Rossi Raquel Peres Sousa Larissa Chaves Nunes Carvalho
Clinical case
Male patient, 34 years of age, previously healthy, admitted to the Emergency Room (ER) of Instituto Dante Pazzanese de Cardiologia reporting a 3-month history of pain in the right lower limb (RLL) and limping for distances of 100 meters in the 3 weeks prior to admission. The patient evolved with worsening pain in the right calf and spontaneous pulsatile bulging a week before admission. He mentioned the use of Rivaroxaban for deep venous thrombosis (DVT) in the RLL five months before, weight loss (15kg in 6 months), and appearance of aphthous lesions in the oropharyngeal region. He had a vascular ultrasound image from another service, with signs of DVT in a partially recanalized right popliteal vein.
On the occasion of admission, physical examination indicated: posteromedial pulsatile mass on the right leg and present pulses, except posterior tibial. Heart, lungs, abdomen, and left lower limb (LLL) without alterations.
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