Right iliac vein thrombosis mimicking acute appendicitis in pregnancy: a case reportReport as inadecuate




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BMC Research Notes

, 10:11

Case reports

Abstract

BackgroundRight iliac vein thrombosis is uncommon in pregnancy. Nonetheless, when it does occur, its presentation could be very unspecific with important diagnostic challenges and this could have negative therapeutic consequences especially in a resource limited setting.

Case presentationThe historical, clinical and laboratory data of a 30 year old G2P1001 woman of African ethnicity at 11 weeks of gestation pointed towards a right iliac vein thrombosis missed for an acute appendicitis with subsequent appendectomy and failure to cure. Following the diagnosis of right iliac vein thrombosis post-appendectomy, the patient was started on low molecular weight heparin and the clinical progress thereafter was favourable.

ConclusionPelvic vein thrombosis should be considered a differential diagnosis of intractable lower abdominal pain in early pregnancy. A high index of suspicion could lead to early diagnosis, prompt management and a favourable prognosis even in a low-income setting.

KeywordsRight iliac vein thrombosis Pregnancy Appendicitis Case report AbbreviationsVTEsvenous thromboembolism

DVTdeep venous thrombosis

RIVTright iliac vein thrombosis

PVTpelvic vein thrombosis

LMWHlow molecular weight heparin

PEpulmonary emboli

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