Deep vein thrombosis after sodium hyaluronate injection to knee joint: a case report

DOI: 10.4328/JCAM.5831 Received: 20.03.2018 Accepted: 29.03.2018 Publihed Online: 02.04.2018 Printed: 01.09.2018 J Clin Anal Med 2018;9(5): 466-8 Corresponding Author: Özgür Altınbaş, Kalp Damar Cerrahisi Kliniği, Eğitim Araştırma Hastahanesi, Meram, Konya, Turkey. T.: +90 3322212034 GSM: +905056570577 E-Mail: ozgur_altinbas@yahoo.com, ozgur_altinbas@yahoo.com ORCID ID: 0000-0002-6819-2454 Abstract Hyaluronic acid is widely used in medical procedures such as intra-articular injections. In addition to some risks of this procedure such as sepsis and injury to neighboring structures, deep vein thrombosis and pulmonary embolism should be kept in mind as rare complications. For this reason it is recommended that intra-articular injection of hyaluronic acid be performed by the ultrasound guidance (usg) method. In this report we present a 67-year-old man with lower extremity deep vein thrombosis following a sodium hyaluronate injection to the right knee joint due to lower extremity pain. The patient was treated with warfarin sodium and low molecular weight heparine and recanalized flow was achieved in common, superficial, and deep femoral veins and in the popliteal vein within the six-month follow-up period.