Rare deep vein thrombosis in pregnancy and puerperium 3 case series; upper extremities vein thrombosis, ovarian vein thrombosis, portal and superior mesenteric vein thrombosis

Author:

Na Eun Duc1,Kim Ji Yoon1,Lee Ji Yeon1ORCID,Jung Sang Hee1,Kim Young Ran1,Jang Ji Hyon1ORCID

Affiliation:

1. Department of Obstetrics and Gynecology, CHA Bundang Medical Center CHA University Seongnam City Republic of Korea

Abstract

AbstractPregnancy induces a hypercoagulable state, elevating thrombosis risk by 5–6 times compared to non‐pregnant conditions. Predominantly affecting the left lower extremity due to anatomical and hematological factors, deep vein thrombosis can escalate into pulmonary embolism, impacting mortality. The authors aim to report rare incidents of thrombosis beyond the norm, including upper extremity vein thrombosis, right ovarian vein thrombosis, and portal vein and superior mesenteric vein thrombosis, highlighting their significance. Obstetricians should be mindful that thrombosis can occur not only in the lower extremities but also in other areas. Especially when symptoms such as fever unresponsive to antibiotics, atypical pain, and an abnormally high C‐reactive protein level are present. Considering the possibility of a rare thrombosis is crucial. Understanding these less common thrombotic events during pregnancy and the postpartum period can contribute to the improvement of timely diagnosis and management strategies.

Publisher

Wiley

Subject

Obstetrics and Gynecology

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