Assessment of venous Doppler ultrasound findings of acute unilateral lower limb swelling in a tertiary facility in central Ghana: a retrospective analytical study

Abstract Background Unilateral lower limb swelling has wide differential diagnoses with varying treatment plans, requiring an early and accurate diagnosis. Doppler ultrasound offers an extensive examination of the vascular system providing a platform for diagnosis and avoidance of unnecessary invasi...

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Autores principales:	Emmanuel Kobina Mesi Edzie, Klenam Dzefi-Tettey, Edmund Kwakye Brakohiapa, Philip Narteh Gorleku, Frank Naku Ghartey, Adu Tutu Amankwa, Peter Appiah-Thompson, Michael Kofi Amedi, Ewurama Andam Idun, Madison Adanusa, Obed Cudjoe, Evans Boadi, Joshua Mensah Kpobi, Frank Quarshie, Richard Ato Edzie, Abdul Raman Asemah
Formato:	article
Lenguaje:	EN
Publicado:	SpringerOpen 2021
Materias:	Acute unilateral lower limb swelling Venous Doppler ultrasound Ghana Medical physics. Medical radiology. Nuclear medicine R895-920
Acceso en línea:	https://doaj.org/article/14aba9df5e554fc0863ab5934a897d35
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spelling	oai:doaj.org-article:14aba9df5e554fc0863ab5934a897d352021-12-05T12:17:29ZAssessment of venous Doppler ultrasound findings of acute unilateral lower limb swelling in a tertiary facility in central Ghana: a retrospective analytical study10.1186/s43055-021-00673-02090-4762https://doaj.org/article/14aba9df5e554fc0863ab5934a897d352021-11-01T00:00:00Zhttps://doi.org/10.1186/s43055-021-00673-0https://doaj.org/toc/2090-4762Abstract Background Unilateral lower limb swelling has wide differential diagnoses with varying treatment plans, requiring an early and accurate diagnosis. Doppler ultrasound offers an extensive examination of the vascular system providing a platform for diagnosis and avoidance of unnecessary invasive procedures. Thus, it becomes pertinent to ensure that all the sonographic information required for the accurate diagnosis of a swollen lower limb is documented and critically analyzed in our setting, hence this study. Results The records of a total of 151 patients with acute unilateral lower limb swelling were retrieved, females constituted the majority (51.7%). The overall mean age was 58.70 ± 16.71 years. Statistical significance was specified at p ≤ 0.05 for this study. The males were on the average 1.86 years younger than the female, but this difference was not statistically significant (p = 0.495). Patients older than 60 years constituted the majority 72 (47.7%) followed by the 40–60-year age category 61 (40.4%), and the left lower limb was affected more often 82 (54.3%). Multiple inguinal lymphadenopathy 82 (35.7%) and edema with thickened skin and subcutaneous layers 67 (29.1%) were the two most recurrent ultrasound features. There was no significant association between the sonographic features and the diagnoses made for acute unilateral lower limb swelling, except for the feature of edema with thickened skin and subcutaneous layers (p = 0.004) and the diagnosis of cellulitis (p = 0.047) that increased significantly with age. Conclusion Multiple inguinal lymphadenopathy and edema of the skin and subcutaneous layers were the most recurrent ultrasound features with cellulitis as the main diagnosis for acute unilateral lower limb swelling in our setting. Edema with thickened skin and subcutaneous layers and cellulitis both increased significantly with age. Sonographers, sonologists, and radiologists must be on the look-out for these in their practices.Emmanuel Kobina Mesi EdzieKlenam Dzefi-TetteyEdmund Kwakye BrakohiapaPhilip Narteh GorlekuFrank Naku GharteyAdu Tutu AmankwaPeter Appiah-ThompsonMichael Kofi AmediEwurama Andam IdunMadison AdanusaObed CudjoeEvans BoadiJoshua Mensah KpobiFrank QuarshieRichard Ato EdzieAbdul Raman AsemahSpringerOpenarticleAcute unilateral lower limb swellingVenous Doppler ultrasoundGhanaMedical physics. Medical radiology. Nuclear medicineR895-920ENThe Egyptian Journal of Radiology and Nuclear Medicine, Vol 52, Iss 1, Pp 1-13 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Acute unilateral lower limb swelling Venous Doppler ultrasound Ghana Medical physics. Medical radiology. Nuclear medicine R895-920
spellingShingle	Acute unilateral lower limb swelling Venous Doppler ultrasound Ghana Medical physics. Medical radiology. Nuclear medicine R895-920 Emmanuel Kobina Mesi Edzie Klenam Dzefi-Tettey Edmund Kwakye Brakohiapa Philip Narteh Gorleku Frank Naku Ghartey Adu Tutu Amankwa Peter Appiah-Thompson Michael Kofi Amedi Ewurama Andam Idun Madison Adanusa Obed Cudjoe Evans Boadi Joshua Mensah Kpobi Frank Quarshie Richard Ato Edzie Abdul Raman Asemah Assessment of venous Doppler ultrasound findings of acute unilateral lower limb swelling in a tertiary facility in central Ghana: a retrospective analytical study
description	Abstract Background Unilateral lower limb swelling has wide differential diagnoses with varying treatment plans, requiring an early and accurate diagnosis. Doppler ultrasound offers an extensive examination of the vascular system providing a platform for diagnosis and avoidance of unnecessary invasive procedures. Thus, it becomes pertinent to ensure that all the sonographic information required for the accurate diagnosis of a swollen lower limb is documented and critically analyzed in our setting, hence this study. Results The records of a total of 151 patients with acute unilateral lower limb swelling were retrieved, females constituted the majority (51.7%). The overall mean age was 58.70 ± 16.71 years. Statistical significance was specified at p ≤ 0.05 for this study. The males were on the average 1.86 years younger than the female, but this difference was not statistically significant (p = 0.495). Patients older than 60 years constituted the majority 72 (47.7%) followed by the 40–60-year age category 61 (40.4%), and the left lower limb was affected more often 82 (54.3%). Multiple inguinal lymphadenopathy 82 (35.7%) and edema with thickened skin and subcutaneous layers 67 (29.1%) were the two most recurrent ultrasound features. There was no significant association between the sonographic features and the diagnoses made for acute unilateral lower limb swelling, except for the feature of edema with thickened skin and subcutaneous layers (p = 0.004) and the diagnosis of cellulitis (p = 0.047) that increased significantly with age. Conclusion Multiple inguinal lymphadenopathy and edema of the skin and subcutaneous layers were the most recurrent ultrasound features with cellulitis as the main diagnosis for acute unilateral lower limb swelling in our setting. Edema with thickened skin and subcutaneous layers and cellulitis both increased significantly with age. Sonographers, sonologists, and radiologists must be on the look-out for these in their practices.
format	article
author	Emmanuel Kobina Mesi Edzie Klenam Dzefi-Tettey Edmund Kwakye Brakohiapa Philip Narteh Gorleku Frank Naku Ghartey Adu Tutu Amankwa Peter Appiah-Thompson Michael Kofi Amedi Ewurama Andam Idun Madison Adanusa Obed Cudjoe Evans Boadi Joshua Mensah Kpobi Frank Quarshie Richard Ato Edzie Abdul Raman Asemah
author_facet	Emmanuel Kobina Mesi Edzie Klenam Dzefi-Tettey Edmund Kwakye Brakohiapa Philip Narteh Gorleku Frank Naku Ghartey Adu Tutu Amankwa Peter Appiah-Thompson Michael Kofi Amedi Ewurama Andam Idun Madison Adanusa Obed Cudjoe Evans Boadi Joshua Mensah Kpobi Frank Quarshie Richard Ato Edzie Abdul Raman Asemah
author_sort	Emmanuel Kobina Mesi Edzie
title	Assessment of venous Doppler ultrasound findings of acute unilateral lower limb swelling in a tertiary facility in central Ghana: a retrospective analytical study
title_short	Assessment of venous Doppler ultrasound findings of acute unilateral lower limb swelling in a tertiary facility in central Ghana: a retrospective analytical study
title_full	Assessment of venous Doppler ultrasound findings of acute unilateral lower limb swelling in a tertiary facility in central Ghana: a retrospective analytical study
title_fullStr	Assessment of venous Doppler ultrasound findings of acute unilateral lower limb swelling in a tertiary facility in central Ghana: a retrospective analytical study
title_full_unstemmed	Assessment of venous Doppler ultrasound findings of acute unilateral lower limb swelling in a tertiary facility in central Ghana: a retrospective analytical study
title_sort	assessment of venous doppler ultrasound findings of acute unilateral lower limb swelling in a tertiary facility in central ghana: a retrospective analytical study
publisher	SpringerOpen
publishDate	2021
url	https://doaj.org/article/14aba9df5e554fc0863ab5934a897d35
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Assessment of venous Doppler ultrasound findings of acute unilateral lower limb swelling in a tertiary facility in central Ghana: a retrospective analytical study

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