Zouari Ines, Mnejja Amina*, Amira Grassi, Khawla Moussa, Ines Miladi, Ekram Guerbej, Ben Msarra Rahma, Issa Rahma, Ghadhab Imen, Zoukar Olfa, Toumi Dhekra and Faleh Raja

Service of Gynecology Obstetrics Maternity and Neonatology Center of Monastir, Tunisia

*Corresponding Author: Mnejja Amina, Service of Gynecology Obstetrics Maternity and Neonatology Center of Monastir, Tunisia.

Received: September 21, 2023; Published: March 18, 2024

Abstract

Deep vein thrombosis (DVT), classically localized to the lower limbs, is inseparable from its immediate complication which is pulmonary embolism (PE), which justifies the concept of venous thrombo embolic disease (VTE). Other locations of DVT, although rarer, can occur and are classically called deep vein thrombosis of unusual location.

We report the case of an AB patient of rural origin, twenty four years old, without any particular history, third gesture or second pare, who consulted our emergency room after twenty days of her delivery for a functional impotence of both lower limbs of acute onset and rapidly progressive worsening.

A pelvic Doppler ultrasound and both lower limbs showed: a post gravid uterus, absence of intra uterine or abdominal-pelvic collection and absence of thrombosis of the ovarian veins. A total thrombosis of the supra- and sub-renal inferior vena cava, of the common and external iliac veins and of the femoral and popliteal veins, a total thrombosis of the veins of the two lower limbs with the head of the thrombus at the level of the supra-renal inferior vena cava.A thin layer of effusion in the Douglas' pouch.

 The final diagnosis was an atypical thrombophlebitis of unusual localization of septic origin (post partum endometritis) and thrombo embolic (post partum bed rest without anti coagulation).

The treatment was a triple antibiotic therapy.

The evolution was favorable.

Thrombophlebitis with unusual location represents a serious condition that requires exploration and adequate symptomatic and etiological management. The negativity of the initial etiological workup requires a good follow-up of the patients is advocated because DVT can be an early sign of neoplastic disease.

 Keywords: Deep Vein Thrombosis (DVT); Pulmonary Embolism (PE)

References

Citation

Citation: Zouari Ines, Mnejja Amina., et al. “Extensive Septic Venous Thrombosis of Insolite Location Discovered in Post Partum: Myth or Reality?”.Acta Scientific Medical Sciences 8.4 (2024): 16-18.

Copyright

Copyright: © 2024 Zouari Ines, Mnejja Amina., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.