Accurate diagnosis of isolated iliac vein thrombosis in third trimester pregnancy with clues on great saphenous vein reflux: a case report and review of literature

Wei, Zhanghong1; Li, Jingzhi2; Liang, Lijun3; Luo, Hui1

2023-02-08

10.1186/s12884-023-05412-z

BMC PREGNANCY AND CHILDBIRTH   影响因子和分区

1471-2393

BackgroundPregnancy is known to be a risk factor for venous thromboembolism (VTE). We report the case of a pregnant patient with difficult to diagnose iliac vein thrombosis, establishing a definite diagnosis by clues of great saphenous vein reflux.Case presentationA 37-year-old G1P0 woman at 35 weeks of assisted twin gestation presented with a complaint of persistent left lower limb edema and tenderness. A vascular ultrasound was used to examine the bilateral lower limb. Doppler of left lower extremity revealed continuous great saphenous vein reflux. Right saphenofemoral veins demonstrated venous stasis and no reflux. Unilateral continuous great saphenous vein reflux suggested left iliac veins obstruction or extrinsic compression. Anterograde venography showed a completely occlusive filling defect of the left external iliac vein, which is the definitive diagnosis of acute deep venous thrombosis. The patient underwent a cesarean delivery following inferior vena cava filter (IVCF) placement, and no signs of deep venous thrombosis (DVT) or pulmonary embolism (PE) were reported after delivery.ConclusionIn pregnant women with suspected deep vein thrombosis, it is imperative to assess the presence of unilateral continuous great saphenous vein reflux.

Deep venous thrombosis Iliac vein Pregnancy Great saphenous vein reflux Ultrasound Case report

SCI

英语

第一 ; 通讯

Obstetrics & Gynecology

Obstetrics & Gynecology

WOS:000934971600004

BMC

Web of Science

1.Southern Univ Sci & Technol, Jinan Univ, Shenzhen Peoples Hosp, Dept Ultrasound,Affiliated Hosp 1,Second Clin Med, Shenzhen 518020, Guangdong, Peoples R China
2.Southern Univ Sci & Technol, Jinan Univ, Shenzhen Peoples Hosp, Dept Matern,Clin Med Coll 2,Affiliated Hosp 1, Shenzhen 518020, Guangdong, Peoples R China
3.Southern Univ Sci & Technol, Jinan Univ, Shenzhen Peoples Hosp, Dept Nursing,Clin Med Coll 2,Affiliated Hosp 1, Shenzhen 518020, Guangdong, Peoples R China

Wei, Zhanghong,Li, Jingzhi,Liang, Lijun,et al. Accurate diagnosis of isolated iliac vein thrombosis in third trimester pregnancy with clues on great saphenous vein reflux: a case report and review of literature[J]. BMC PREGNANCY AND CHILDBIRTH,2023,23(1).

Wei, Zhanghong,Li, Jingzhi,Liang, Lijun,&Luo, Hui.(2023).Accurate diagnosis of isolated iliac vein thrombosis in third trimester pregnancy with clues on great saphenous vein reflux: a case report and review of literature.BMC PREGNANCY AND CHILDBIRTH,23(1).

Wei, Zhanghong,et al."Accurate diagnosis of isolated iliac vein thrombosis in third trimester pregnancy with clues on great saphenous vein reflux: a case report and review of literature".BMC PREGNANCY AND CHILDBIRTH 23.1(2023).