García EJ, Lara GI, Fustero AJM, Hermoso CV, Vélez LA

Language: Spanish
References: 7
Page: 121-129
PDF size: 279.69 Kb.

ABSTRACT

The thrombosis of the inferior vena cava account for around the 15% of the cases of deep venous thrombosis. This is the case of a puerperal primigravida with a cesarean section labor presenting with a thrombosis initially in the right ovarian vein and then extension to the inferior vena cava. Treatment included low molecular weight heparin in anticoagulant doses; rest with elevation of the extremities and elastic bandage. After a satisfactory process evolution with partial lysis of the thrombus, the oral anticoagulation with Acenocumarol for 6 months was started. The second patient, a man aged 73 with backgrounds of an operated hepatic hydatidosis, had a thrombosis of the infrarenal inferior vena cava and agenesia of retrohepatic segment of the inferior vena cava. The patient remains with anticoagulant treatment including Acenocumarol, elastic bandage and hygienic care. As sequela he had a postphlebitic syndrome and reworsening of the edema leading to its admission in two occasions.

REFERENCES

1. Fernández LG. Trombosis de la vena cava inferior. [monografía en Internet] Disponible en: http://emedicine.medscape.com/article/191103-overview Fecha última consulta: 29 de diciembre de 2008.

2. Donoso E, Pobrete J, Vargas M. Trombosis de la vena ovárica derecha postparto vaginal. Rev Chil Obstet Ginecol 2002;67(4):314-7.

3. Twickler DM, Setiawan AT, Evans RS, Erdman WA, Stettler RW, Brown CE, et al. Imaging of puerperal septic thrombophlebitis: prospective comparison of MR imaging, CT and sonography. Am J Roentgenol 1997;169:1039-43.

4. Berg CJ, Atrash HK, Koonin LM, Tucker M. Pregnancy related mortality in the United States, 1987-1990. Obstet Gynecol 1996;88:161-7.

5. Brill-Edwards P, Ginsberg JS, Gent M, Hirsh J, Burrows R, Kearon C, Couture G. Safety of withholding heparin in pregnant women with a history of venous thromboembolism. N Engl J Med 2000;343:1439-44.

6. Anderson RC, Adams P, Burke B. Anomalous inferior vena cava with azygos continuation (infrahepatic interruption of the inferior vena cava). J Pediatr. 1961;59:370-83.

7. Morant F, Angusto A, Vélez A, López A, Revilla JM Azcona JM. Agenesia de vena cava inferior infrarrenal. Caso clínico. Angiología. 1997;6:265-8.