A 27-Year-Old Man With Acute Severe Low Back Pain and Bilateral Leg Swelling That Prompted Renting a Wheelchair for Mobility

John G Williams; Huy Phan; Helena R Winston; Randolph V Fugit; Bridget Graney; Brant Jamroz; Benjamin English; Edward D Chan

doi:10.1016/j.chest.2016.08.1459

A 27-Year-Old Man With Acute Severe Low Back Pain and Bilateral Leg Swelling That Prompted Renting a Wheelchair for Mobility

Chest. 2017 Feb;151(2):e35-e39. doi: 10.1016/j.chest.2016.08.1459.

Authors

John G Williams¹, Huy Phan¹, Helena R Winston¹, Randolph V Fugit², Bridget Graney³, Brant Jamroz⁴, Benjamin English⁴, Edward D Chan⁵

Affiliations

¹ Department of Medicine, University of Colorado Denver Anschutz Medical Campus, Aurora, CO.
² Skaggs School of Pharmacy and Pharmaceutical Sciences, University of Colorado Denver Anschutz Medical Campus, Aurora, CO; Department of Pharmacy, Denver Veterans Affairs Medical Center, Denver, CO.
³ Division of Pulmonary Sciences and Critical Care Medicine, University of Colorado Denver Anschutz Medical Campus, Aurora, CO.
⁴ Department of Radiology, Denver Veterans Affairs Medical Center, Denver, CO.
⁵ Department of Medicine, University of Colorado Denver Anschutz Medical Campus, Aurora, CO; Division of Pulmonary Sciences and Critical Care Medicine, University of Colorado Denver Anschutz Medical Campus, Aurora, CO; Department of Medicine, Denver Veterans Affairs Medical Center, Denver, CO; Department of Medicine and Academic Affairs, National Jewish Health, Denver, CO. Electronic address: chane@njhealth.org.

PMID: 28183502
DOI: 10.1016/j.chest.2016.08.1459

Abstract

A 27-year-old man with OSA, posttraumatic stress disorder, and chronic mechanical back pain presented with a 3-day history of acute atraumatic worsening of his low back pain as well as right groin numbness that was exacerbated by walking. He also complained of bilateral leg "heaviness," pain, and swelling, all becoming so severe that he rented a wheelchair for mobility.

Published by Elsevier Inc.

Publication types

Case Reports

MeSH terms

Acute Pain / etiology*
Adult
Collateral Circulation*
Edema / etiology*
Humans
Leg
Low Back Pain / etiology*
Male
Mobility Limitation
Tomography, X-Ray Computed
Vascular Malformations / complications*
Vascular Malformations / diagnostic imaging
Vena Cava, Inferior / abnormalities*
Vena Cava, Inferior / diagnostic imaging
Venous Thrombosis / complications*
Venous Thrombosis / diagnosis
Wheelchairs