An uncommon cause of hip pain: isolated gluteal deep venous thrombosis associated with prolonged seated immobility

Bu yazida is yerinde uzun sureli oturmaya bagli immobilitenin venoz trombozun major risk faktoru oldugu, 32 yasinda izole gluteal derin ven trombozlu bir kadin olgu sunuldu. Basvuru sirasinda hastada bir haftadir devam eden ve son iki gun giderek artan siddetli sol kalca agrisi mevcuttu. Kontrast maddeli kalca manyetik rezonans goruntulemede sol inferior gluteal ven trombozu ve akabinde renkli Doppler ultrasonografi ile desteklenen perivaskuler enflamasyon goruldu. Trombozun muhtemel nedenleri arastirilirken, hastanin is yerinde uzun sureli oturmasindan baska risk faktoru saptanmadi. Dusuk molekuler agirlikli heparin ve varfarin ile antikoagulasyondan sonra, hastanin semptomlari iki hafta icerisinde tamamen duzeldi. Bilinen risk faktorlerinin mevcut olmamasi durumunda, uzun sureli oturmaya bagli immobilite ile iliskili 21. yuzyil yasam tarzi, venoz tromboza katkida bulunan ana etmen olarak dusunulebilir. Anah tar soz cuk ler: Gluteal ven; kalca agrisi; uzun sureli oturma, immobilite; tromboembolizm. In this article, we report a 32-year-old female patient with isolated gluteal deep venous thrombosis, in whom immobility associated with sitting for long periods at work represented the major risk factor for her venous thrombosis. At admission, the patient had a week history of severe left hip pain which gradually increased in the last two days. Hip magnetic resonance imaging with contrast agent demonstrated left inferior gluteal vein thrombosis and perivascular inflammation which was subsequently supported by color Doppler ultrasonography. A search for possible causes of the thrombosis revealed no risk factor other than prolonged seated immobility at work. After anticoagulation with low molecular weight heparin and warfarin, her symptoms completely resolved in two weeks. In the absence of recognized risk factors, 21st century lifestyle associated immobility from prolonged sitting might be considered as the major contributing factor for venous thrombosis.