Abstract
Pregnancy is associated with a procoagulant predisposition considered preparatory for the hemostatic challenge of delivery. During pregnancy, deep vein thrombosis (DVT) involves the left leg in 88% of cases. Our patient presents with atypical distribution of DVT. A primipara presented to our service with pain and thrombosed veins of the right calf and thight at 13 and 22 weeks of gestation. Doppler ultrasound excluded DVT. Treatment with topical heparin and elastic support was recommended. Follow-up revealed satisfactory progress. At 34 weeks of gestation, the patient presents to our department with acute pain of her right thigh. Doppler examination confirmed DVT at this atypical site. Systemic heparin therapy and follow-up were initiated. The patient recovered uneventfully, and the fetus was delivered at term via C-section. The awareness of venous conditions during pregnancy may prevent potentialy life-threatening complications for both the mother and fetus through optimal management of high-risk patients.
Published Version
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