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Postcesarean vulvar thrombophlebitis in a low-risk patient: A case report

Year 2020, Volume: 2 Issue: 2, 73 - 75, 29.06.2020

Abstract

Thrombophlebitis, which can be seen during pregnancy and the postpartum period, may rarely cause pulmonary embolism, which is one of the most common causes of postpartum maternal deaths. A 32-year-old multiparous woman with complaints of pain, swelling and erythema on the vulva and right femur medial surface was admitted to the outpatient clinic. Her initial gynaecological anamnesis presented that she had a cesarean delivery at our clinic one week ago. Vulvar thrombophlebitis, which was detected via examinations and laboratory investigations, was successfully treated with a combination of analgesics, antibiotics and anticoagulants. Vulvar thrombophlebitis is a considerable disease that can be seen during the postpartum period in patients who deliver via cesarean section, and it can be successfully treated with medical treatments.

References

  • Brown KR, Rossi PJ. Superficial venous disease. Surg Clin North Am 2013; 93:963-982.
  • Heit JA, Spencer FA, White RH. The epidemiology of venous thromboembolism. J Thromb Thrombolysis 2016; 41:3-14.
  • James AH. Thrombosis in pregnancy and maternal outcomes. Birth Defects Res C Embryo Today 2015; 105:159-166.
  • Verlato F, Zucchetta P, Prandoni P, et al. An unexpectedly high rate of pulmonary embolism in patients with superficial thrombophlebitis of the thigh. J Vasc Surg 1999; 30:1113-1115.
  • The Royal College of Obstetricians and Gynaecologists Thrombosis and Embolism during Pregnancy and the Puerperium, Reducing the Risk. 2015 Green-Top Guideline No. 37a., Available from: https://www.rcog.org.uk/en/guidelines-research-services/guidelines/gtg37a/ (Erişim tarihi: 02.06.2020)
  • Wolberg AS, Aleman MM, Leiderman K, Machlus KR. Procoagulant activity in hemostasis and thrombosis: Virchow's triad revisited. Anesth Analg 2012; 114:275-285.
  • Deep vein thrombosis. Mayo Clinic. Available from: http://www.mayoclinic.org/diseases-conditions/deep-vein-thrombosis/basics/risk-factors/con-20031922 (Erişim tarihi: 06.06.2020).
  • Jindal S, Dedhia A, Tambe S, Jerajani H. Vulvovaginal varicosities: An uncommon sight in a dermatology clinic. Indian J Dermatol 2014; 59:210.
  • Nasr H, Scriven JM. Superficial thrombophlebitis (superficial venous thrombosis). BMJ 2015; 350:h2039.
  • Kupelian AS, Huda MS. Pregnancy, thrombophlebitis and thromboembolism: what every obstetrician should know. Arch Gynecol Obstet 2007; 275:215-217.
  • Di Nisio M, Wichers IM, Middeldorp S. Treatment for superficial thrombophlebitis of the leg. Cochrane Database Syst Rev. 2007 Apr 18. CD004982.
  • Stevens SM. Review: Fondaparinux reduces VTE and recurrence in superficial thrombophlebitis of the leg. Ann Intern Med 2012; 157:JC2-4.
  • Prandoni P, Tormene D, Pesavento R,. High vs. low doses of low-molecular-weight heparin for the treatment of superficial vein thrombosis of the legs: a double-blind, randomized trial. J Thromb Haemost 2005; 3:1152-1157.
  • Rault S, Anjar A, Keller E. Thrombophlebitis of the right ovarian vein with thrombosis of the inferior vena cava in the post-partum. Gynecol Obstet Fertil 2007; 35:658-661.
  • Di Nisio M, Peinemann F, Porreca E, Rutjes AW. Treatment for superficial infusion thrombophlebitis of the upper extremity. Cochrane Database Syst Rev. 2015; (11):CD011015.

Düşük riskli hastada sezaryen sonrası vulvar tromboflebit: Olgu sunumu

Year 2020, Volume: 2 Issue: 2, 73 - 75, 29.06.2020

Abstract

Gebelik ve postpartum dönemde görülebilen tromboflebit, postpartum anne ölümlerinin en sık sebeplerinden biri olan pulmoner emboliye nadiren de olsa sebep olabilmektedir. Otuz iki yaşında multipar bayan hasta, polikliniğimize vulvar ve sağ femoral bölge iç yüzünde ağrı, şişlik ve kızarıklık şikâyetleri ile başvurdu. Anamnezinden bir hafta önce kliniğimizde sezaryen ile doğum yaptığı öğrenildi. Yapılan muayene ve tetkikler sonucunda saptanan vulvar tromboflebit analjezik, antibiyotik ve antikoagülan kombinasyonu ile başarılı bir şekilde tedavi edildi. Vulvar tromboflebit sezaryen ile doğum yapan olgularda postpartum dönemde görülebilen ve medikal olarak başarılı bir şekilde tedavi edilebilen önemli bir hastalıktır.

References

  • Brown KR, Rossi PJ. Superficial venous disease. Surg Clin North Am 2013; 93:963-982.
  • Heit JA, Spencer FA, White RH. The epidemiology of venous thromboembolism. J Thromb Thrombolysis 2016; 41:3-14.
  • James AH. Thrombosis in pregnancy and maternal outcomes. Birth Defects Res C Embryo Today 2015; 105:159-166.
  • Verlato F, Zucchetta P, Prandoni P, et al. An unexpectedly high rate of pulmonary embolism in patients with superficial thrombophlebitis of the thigh. J Vasc Surg 1999; 30:1113-1115.
  • The Royal College of Obstetricians and Gynaecologists Thrombosis and Embolism during Pregnancy and the Puerperium, Reducing the Risk. 2015 Green-Top Guideline No. 37a., Available from: https://www.rcog.org.uk/en/guidelines-research-services/guidelines/gtg37a/ (Erişim tarihi: 02.06.2020)
  • Wolberg AS, Aleman MM, Leiderman K, Machlus KR. Procoagulant activity in hemostasis and thrombosis: Virchow's triad revisited. Anesth Analg 2012; 114:275-285.
  • Deep vein thrombosis. Mayo Clinic. Available from: http://www.mayoclinic.org/diseases-conditions/deep-vein-thrombosis/basics/risk-factors/con-20031922 (Erişim tarihi: 06.06.2020).
  • Jindal S, Dedhia A, Tambe S, Jerajani H. Vulvovaginal varicosities: An uncommon sight in a dermatology clinic. Indian J Dermatol 2014; 59:210.
  • Nasr H, Scriven JM. Superficial thrombophlebitis (superficial venous thrombosis). BMJ 2015; 350:h2039.
  • Kupelian AS, Huda MS. Pregnancy, thrombophlebitis and thromboembolism: what every obstetrician should know. Arch Gynecol Obstet 2007; 275:215-217.
  • Di Nisio M, Wichers IM, Middeldorp S. Treatment for superficial thrombophlebitis of the leg. Cochrane Database Syst Rev. 2007 Apr 18. CD004982.
  • Stevens SM. Review: Fondaparinux reduces VTE and recurrence in superficial thrombophlebitis of the leg. Ann Intern Med 2012; 157:JC2-4.
  • Prandoni P, Tormene D, Pesavento R,. High vs. low doses of low-molecular-weight heparin for the treatment of superficial vein thrombosis of the legs: a double-blind, randomized trial. J Thromb Haemost 2005; 3:1152-1157.
  • Rault S, Anjar A, Keller E. Thrombophlebitis of the right ovarian vein with thrombosis of the inferior vena cava in the post-partum. Gynecol Obstet Fertil 2007; 35:658-661.
  • Di Nisio M, Peinemann F, Porreca E, Rutjes AW. Treatment for superficial infusion thrombophlebitis of the upper extremity. Cochrane Database Syst Rev. 2015; (11):CD011015.
There are 15 citations in total.

Details

Primary Language Turkish
Subjects Obstetrics and Gynaecology
Journal Section Case Report
Authors

Fahri Burçin Fıratlıgil 0000-0002-4499-3492

Mustafa Ulubay 0000-0002-3775-4354

Publication Date June 29, 2020
Acceptance Date June 6, 2020
Published in Issue Year 2020 Volume: 2 Issue: 2

Cite

APA Fıratlıgil, F. B., & Ulubay, M. (2020). Düşük riskli hastada sezaryen sonrası vulvar tromboflebit: Olgu sunumu. Türk Kadın Sağlığı Ve Neonatoloji Dergisi, 2(2), 73-75.
AMA Fıratlıgil FB, Ulubay M. Düşük riskli hastada sezaryen sonrası vulvar tromboflebit: Olgu sunumu. Türk Kadın Sağlığı ve Neonatoloji Dergisi. June 2020;2(2):73-75.
Chicago Fıratlıgil, Fahri Burçin, and Mustafa Ulubay. “Düşük Riskli Hastada Sezaryen Sonrası Vulvar Tromboflebit: Olgu Sunumu”. Türk Kadın Sağlığı Ve Neonatoloji Dergisi 2, no. 2 (June 2020): 73-75.
EndNote Fıratlıgil FB, Ulubay M (June 1, 2020) Düşük riskli hastada sezaryen sonrası vulvar tromboflebit: Olgu sunumu. Türk Kadın Sağlığı ve Neonatoloji Dergisi 2 2 73–75.
IEEE F. B. Fıratlıgil and M. Ulubay, “Düşük riskli hastada sezaryen sonrası vulvar tromboflebit: Olgu sunumu”, Türk Kadın Sağlığı ve Neonatoloji Dergisi, vol. 2, no. 2, pp. 73–75, 2020.
ISNAD Fıratlıgil, Fahri Burçin - Ulubay, Mustafa. “Düşük Riskli Hastada Sezaryen Sonrası Vulvar Tromboflebit: Olgu Sunumu”. Türk Kadın Sağlığı ve Neonatoloji Dergisi 2/2 (June 2020), 73-75.
JAMA Fıratlıgil FB, Ulubay M. Düşük riskli hastada sezaryen sonrası vulvar tromboflebit: Olgu sunumu. Türk Kadın Sağlığı ve Neonatoloji Dergisi. 2020;2:73–75.
MLA Fıratlıgil, Fahri Burçin and Mustafa Ulubay. “Düşük Riskli Hastada Sezaryen Sonrası Vulvar Tromboflebit: Olgu Sunumu”. Türk Kadın Sağlığı Ve Neonatoloji Dergisi, vol. 2, no. 2, 2020, pp. 73-75.
Vancouver Fıratlıgil FB, Ulubay M. Düşük riskli hastada sezaryen sonrası vulvar tromboflebit: Olgu sunumu. Türk Kadın Sağlığı ve Neonatoloji Dergisi. 2020;2(2):73-5.