Superficial Thrombophlebitis of the Legs

The article deals with the diagnostics, treatment and possible complications of superficial thrombophlebitis. Though often considered banal, this disease can be complicated, in not quite negligible rate, with deep vein thrombosis or even pulmonary embolism. That is why dupplex ultrasonography is recommended to exclude the involvement of deep venous system. Evidence-based recommendations of optimal treatment are lacking, there is a possibility of either surgical or conservative approach. Controversy also exists about the anticoagulant therapy in superficial thrombophlebitis, most authors agree that it is indicated but recommended dose or length of therapy is less clear. Superficial thrombophlebitis can be a sign of thrombophilia or malignancy and it is therefore necessary to consider further diagnostic workup. The history of superficial thrombophlebitis should not be overlooked in situations with high thromboembolic risk and antithrombotic prophylaxis should be considered in such case.

Keywords: Key words: superficial thrombophlebitis, ultrasonography, deep vein thrombosis, anticoagulant therapy.