Introduction: Deep vein thrombosis is a serious condition that remains prevalent despite advances in antithrombotic prophylaxis. It thus represents its morbidity and mortality a public health problem.The aim of our work: Was to analyze the epidemiological, etiological, diagnostic and therapeutic characteristics of deep venous thrombosis in an internal medicine department in the region of the Eastern
Materials and Methods: This is a retrospective, descriptive and analytical type on patients supported in internal medicine CHU Mohammed VI – OUJDA for deep vein thrombosis on a four-year term about January 2010 to April 2014, 136 observations were retained
Results: Thromboembolic disease of the lower limb was the most frequent location (n = 111), portal thrombosis (n = 16), upper extremity DVT (n = 6) and cerebral venous thrombosis (n = 4). The mean age was 48 +/- 19 years with an average in pulmonary embolism 33 years. A female was observed for all locations except for the upper extremity DVT (sex ratio of 1). The shortest period was the diagnosis of DVT IL (12 days) and the longest was that of the portal vein thrombosis (41 days). In etiology, etiology was selected in 2/3 patients with dominance of neoplastic origin (1/3 etiologies), postpartum (n = 9), surgery (n = 9), bed rest (n = 10), Behcet’s disease (n = 7), the APS (n = 4) and pregnancy (n = 4). All patients were started on heparin (except 4 patients because of the risk of bleeding) with an early switch to oral anticoagulants (except 10 patients, including 8 cases of active neoplasia and 2 cases of pregnancies). In univariate analysis, the usefulness of a comprehensive etiological was checked with 73 % of patients who have been able to retain an etiology, had received a complete assessment while 46% of idiopathic thrombosis qualified n ‘ had been able to actually have a balance to our proper notice. 70% of patients have proved cancer were younger than 65 years. Neoplasia was retained in 50% of MS patients with DVT and 70% of proximal thrombosis IL. The outcome was favorable in 55.1 % of patients. One death occurred in 2 cases and 42% of cases were lost to view
Discussion and Conclusion: DVT is a serious condition and often underdiagnosed including atypical localizations. Our results highlight the interest can easily specify the diagnostic tests that are required before any clinical signs suggestive of DVT in particular with regard to unusual locations. After the successful diagnosis, etiological must be systematic in the absence of signs of clinical orientation to research particular neoplastic etiology. Finally, it is important to note the need to improve the quality of patient monitoring by fostering close monitoring and having immediately clear visibility as to therapeutic modalities, duration of anticoagulation and means of surveillance