Deep Vein Thrombosis in the Second Trimester of Pregnancy: A Case Report and Literature Review
Year: 2024
Type: article
Study design: Case Report
Abstract: Introduction: Deep vein thrombosis (DVT) is diagnosed in about 1 in every 500 to 2000 pregnancies. Pregnancy increases the risk of pulmonary embolism (DVT), a leading cause of maternal deaths and fetal death. Several risk factors include advanced age, multiple pregnancies, lower limb varicose veins, and obesity. Clinical case: A 21-year-old with a 26-week pregnancy experienced sudden pain in her lower left limb, causing increased volume and difficulty walking. Doppler ultrasound revealed thrombosis in the common and deep femoral veins, thrombophlebitis of the great safenic vein, and soft tissue edema. A multidisciplinary approach was employed. Discussion: Deep vein thrombosis (DVT) is a thromboembolic disease in pregnancy, affecting up to 50% of cases. Diagnosis involves high clinical suspicion, risk factors, time of gestation, venous Doppler ultrasound images, and D-dimer test. Treatment should be based on a comprehensive evaluation, considering thrombophilia type, history of DVT, and family history. Conclusion: Early identification, biomarker use, and education about DVT symptoms are crucial for optimal treatment and preventing complications
Authors: Roselin Arlet May Román, Binui Kumul Canché, Jesús Loyo Estrada, Anthony Montiel Montes de Oca, Esperanza Cardenas Peñaloza, Fernando Interian Alvárez, Frida Serrano Grimaldo, Viridiana Noemí Victoria Acosta, Alexis Emir Noguera Echeverría, María Fernanda Ibarra Guerrero, Héctor Alejandro Soto Hernández, Issa Paulina Sáenz Cabrales, Ilse Abigail Muñoz Castillo
Institutions: Autonomous University of Yucatán, Autonomous University of Tamaulipas, Universidad Michoacana de San Nicolás de Hidalgo, Universidad Autónoma del Estado de Morelos, Institute for Social Security and Services for State Workers, Hospital Christus Muguerza Alta Especialidad, University of Monterrey
Language: English
Subfield: Internal Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: hybrid
OpenAlex ID: W4404832501