engleski

Postpartal deep-vein thrombosis with underlying agenesis of the vena cava inferior

Introduction: Hereditary thrombophilia, prolonged immobilization, malignancy, trauma, infection, pregnancy and use of oral contraceptives are common factors that predispose to DVT in female population. Agenesis of the inferior vena cava is an extremely rare vascular defect resulting from aberrant development of the venous system during embryogenesis. Some authors have suggested it to be the additional, independent risk factor for DVT especially in young people with no other known risk factors. We would like to present a case of a pregnant woman with history of multiple pregnancy failures, ordered with prolonged bed rest, whose pregnancy was complicated with preeclampsia and intrauterine growth retardation. Furthermore, she underwent a caesarean section and developed urinary tract infection. Postpartal period was further complicated with complete thrombosis of the right superficial femoral vein with proximal extension of the thrombus. All the risk factors mentioned above mislead us at first in reaching the diagnosis of this rare anomaly. To our knowledge, our case is the first to report postpartal deep-vein thrombosis, with underlying anomaly of the inferior vena cavaand successful pregnancy. Conclusion: Even in pregnant patients carrying multiple risks for DVT, diagnosed with proximal thrombosis, underlying malformations of venous system should be considered.

vena cava inferior; deep-vein thrombosis; postpartum

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