Abstract
Deep Vein Thrombosis (DVT) is uncommon in children. We describe a case of DVT in children, highlighting importance of early diagnosis of rare disease. Here we report a case of 10-year-old boy presented with persistent pain and swelling of the left thigh. Detailed investigations led to diagnosis of DVT.
Highlights
Deep Vein Thrombosis is relatively rare in children overall incidence of 0.7/100,000 paediatric population [1]
Deep Vein Thrombosis (DVT) is very rare in children with overall incidence of 0.7/100,000 paediatric population [1]
ATTRACT Trial, showed Pharmacomechanical catheter-directed thrombosis (PCDT) in acute DVT patients did not reduce the overall occurrence of post thrombotic syndrome (PTS) but did result in a higher risk of major bleeding [3]
Summary
Deep Vein Thrombosis is relatively rare in children overall incidence of 0.7/100,000 paediatric population [1]. History revealed no significant haematological diseases in both parent’s families He has been fully immunized and had normal growth and development. He was started on subcutaneous Enoxaparin 1 mg /kg twice daily for 5 days followed by oral Warfarin and INR was maintained between 2 to 3 and appropriate sensitive antibiotics was started. We followed American Society of Hematology (ASH) guidelines and used only anticoagulation therapy and did not consider IVC filter or thrombolysis in our case He had improved clinically and was discharged well with oral warfarin 0.1 mg/kg and dose was adjusted to maintain INR between 2-3. He was doing well on clinic follow-up and doppler ultrasound study showed signs of partial recanalization of external iliac vein. Malaysian Journal of Paediatrics and Child Health (MJPCH) | (December 2020) | Page 55 of 55
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