Copyright
©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Apr 6, 2020; 8(7): 1311-1318
Published online Apr 6, 2020. doi: 10.12998/wjcc.v8.i7.1311
Published online Apr 6, 2020. doi: 10.12998/wjcc.v8.i7.1311
Severe venous thromboembolism in the puerperal period caused by thrombosis: A case report
Ji Zhang, Jing-Li Sun, Department of Obstetrics and Gynecology, General Hospital of Northern Theater Command (Heping Campus), Shenyang 110000, Liaoning Province, China
Author contributions: Zhang J was the patient’s attending gynecology and obstetrics physician, reviewed the literature and contributed to manuscript drafting; Sun JL analyzed and interpreted the imaging findings and was responsible for revision of the manuscript for important intellectual content; all authors issued final approval for the version to be submitted.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Jing-Li Sun, MAMS, Chief Physician, Department of Obstetrics and Gynecology, General Hospital of Northern Theater Command (Heping Campus), No. 5 Guangrong Street, Heping District, Shenyang 110000, Liaoning Province, China. zg3416@sina.com
Received: December 1, 2019
Peer-review started: December 1, 2019
First decision: December 23, 2019
Revised: January 13, 2020
Accepted: March 9, 2020
Article in press: March 9, 2020
Published online: April 6, 2020
Peer-review started: December 1, 2019
First decision: December 23, 2019
Revised: January 13, 2020
Accepted: March 9, 2020
Article in press: March 9, 2020
Published online: April 6, 2020
Core Tip
Core tip: Thrombophilia is an important risk factor for venous thromboembolism (VTE) in pregnant women. We present herein, a rare case of severe VTE caused by thrombophilia in the puerperium period. The severe VTE in this patient with a family history of lower extremity venous thrombosis developed rapidly into pulmonary embolism, but the clinical symptoms were not typical, and the diagnosis was confirmed by ultrasonography and pulmonary computed tomography angiography. This case demonstrates that clinicians should learn to recognize the high risk factors for VTE, and improve their understanding of thrombophilia during pregnancy and puerperium.