Acute iliac vein thrombosis in pregnancy treated successfully by streptokinase lysis: a case report
-
Wolfgang Henrich
Abstract
Background: Postthrombotic syndrome is an important late complication after deep vein thrombosis in pregnancy. Thrombolytic agents are more efficient in preventing this condition but are rarely used in pregnant women.
Case: A 22-year-old woman at 29 weeks of gestation presented with acute iliac vein thrombosis. After application of a heparin bolus, systemic streptokinase lysis was performed. Low-dose heparin therapy was continued for the remainder of the, otherwise unremarkable, pregnancy. Spontaneous delivery of a healthy girl was without complications and thromboprophylaxis with low-molecular heparin was continued.
Conclusion: Thrombolysis in pregnancy is possible and may help to prevent severe long-term sequelae of thrombosis in young women. Bleeding is a major risk, which must be considered and therapy should only be administered under close observation.
Copyright © 2001 by Walter de Gruyter GmbH & Co. KG
Articles in the same Issue
- Malignant disease in pregnancy
- Repeated ultrasound guided fetal injections of corticosteroid alter nervous system maturation in the ovine fetus
- Incidence and birth weight characteristics of twins born to mothers aged 40 years or more compared with 35-39 years old mothers: a population study
- Lipopolysaccharide stimulation of 70 kilo Dalton heat shock protein messenger ribonucleic acid production in cultured human fetal membranes
- Effect of positive end expiratory pressure on functional residual capacity and compliance in surfactant-treated preterm infants
- Neonatal nucleated red blood cell counts in twins
- Normalisation of a severely abnormal ductus venosus Doppler flow velocity waveform in a growth-retarded fetus with absent end-diastolic flow in the umbilical artery and congenital anomalies
- Acute iliac vein thrombosis in pregnancy treated successfully by streptokinase lysis: a case report
- Liquid ventilation in an infant with persistent interstitial pulmonary emphysema
- Renal vein thrombosis in a newborn with prothrombotic genetic risk factors
- Fetal pulse oximetry allows safe continuation of labor in the presence of mild-moderate non reassuring CTG
- WAPM-Newsletter No 1
Articles in the same Issue
- Malignant disease in pregnancy
- Repeated ultrasound guided fetal injections of corticosteroid alter nervous system maturation in the ovine fetus
- Incidence and birth weight characteristics of twins born to mothers aged 40 years or more compared with 35-39 years old mothers: a population study
- Lipopolysaccharide stimulation of 70 kilo Dalton heat shock protein messenger ribonucleic acid production in cultured human fetal membranes
- Effect of positive end expiratory pressure on functional residual capacity and compliance in surfactant-treated preterm infants
- Neonatal nucleated red blood cell counts in twins
- Normalisation of a severely abnormal ductus venosus Doppler flow velocity waveform in a growth-retarded fetus with absent end-diastolic flow in the umbilical artery and congenital anomalies
- Acute iliac vein thrombosis in pregnancy treated successfully by streptokinase lysis: a case report
- Liquid ventilation in an infant with persistent interstitial pulmonary emphysema
- Renal vein thrombosis in a newborn with prothrombotic genetic risk factors
- Fetal pulse oximetry allows safe continuation of labor in the presence of mild-moderate non reassuring CTG
- WAPM-Newsletter No 1
