Deep Vein Thrombosis of the Lower Limb Complicating a Pregnancy in the First Trimester under AKV Treatment: 1 Case Report

Résumé fourni par la source

The occurrence of deep vein thrombosis during pregnancy is a rare situation with an incidence of 0.6 to 1 per 1000 pregnancies. This situation leads to diagnostic and especially, therapeutic difficulties; its occurrence in the first trimester, especially in a woman from disadvantaged backgrounds, is an additional therapeutic challenge. We report a case of deep vein thrombosis of the lower limb in a pregnancy at 6 weeks' gestation in a 26-year-old pregnant woman, a primigravida with one living child. The diagnosis has been suspected on the basis of clinical signs and D- dimer test, and confirmed by venous Doppler ultrasound. The initial treatment has been mainly based on anticoagulation with anti k-vitamin (warfarin sodium), with an effective dose, throughout the pregnancy. The enoxaparin at a therapeutic dose initially introduced was interrupted for financial reasons, forcing the medical team to introduce AVK with the informed consent of the patient and her family, giving priority to the mother to ensure continued care in these conditions. The mode of delivery was vaginal and the maternal prognosis was good with normal postpartum period. The fetal prognosis was also good with the birth of a healthy newborn.

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