Management of superficial thrombophlebitis in pregnant women

Authors

  • María Gracia Cruz-Caparrós Servicio de Medicina Interna. Hospital de Poniente. El Ejido (Almería). España
  • Francisco Rivera-Cívico Servicio de Medicina Interna. Hospital de Poniente. El Ejido (Almería). España
  • Juan Criado-García Unidad de Medicina Interna y Unidad de Lípidos y Arteriosclerosis. IMIBIC/Hospital Universitario Reina Sofía/Universidad de Córdoba. Córdoba. España
  • Eva Talavera-García Servicio de Medicina Interna. Hospital de Llevant. Manacor (Islas Baleares). España
  • Laura Limia-Pérez Unidad de Medicina Interna y Unidad de Lípidos y Arteriosclerosis. IMIBIC/Hospital Universitario Reina Sofía/Universidad de Córdoba. Córdoba. España

DOI:

https://doi.org/10.32818/reccmi.a3n2a19

Keywords:

superficial venous thrombosis, pregnancy, compression ultrasound, low molecular weight heparin (LMWH).

Abstract

Superficial vein thrombosis (SVT) has traditionally been considered a benign condition. However, current evidence suggests that thrombosis will spread into the deep vein system in a significant proportion of cases, particularly when the thrombus occupies the proximal long saphenous vein. Its presentation in pregnancy is an added difficulty. This case represents the complex management of a condition for which diagnostic prediction tools are lacking. Ultrasound examination plays a key role, especially in pregnant patients, for whom evidence supporting the diagnosis and treatment of venous thromboembolic disease is weaker than for the rest of patients. We present the case of a pregnant woman of 9 weeks with SVT and we discussed her management.

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References

Frappe P, Buchmuller-Cordier A, Bertoletti L, Bonithon-Kopp C, Couzan S, Lafond P, et al, H & the STEPH Study Group. Annual diagnosis rate of superficial-vein thrombosis of the lower limbs: the STEPH community-based study. J Thromb Haemost. 2014; 12: 831-838.

Decousus H, Quere I, Presles E, Becker F, Barrellier MT, Chanut M, et al for POST (Prospective Observational Superficial Thrombophlebitis) Study Group. Superficial venous thrombosis and venous thromboembolism: a large, prospective epidemiologic study. Ann Intern Med. 2010; 152: 218-224.

McColl MD, Ramsay JE, Tait RC, Walker ID, McCall F, Conkie JA, et al. Superficial vein thrombosis: incidence in association with pregnancy and prevalence of thrombophilic defects. Thromb Haemost. 1998; 79: 741-742.

Chan WS, Rey E, Kent NE. VTE in Pregnancy Guideline Working Group. Venous thromboembolism and antithrombotic therapy in pregnancy. J Obstet Gynaecol Can. 2014; 36: 527-553.

Leizorovicz A, Becker F, Buchmuller A, Quere I, Prandoni P, Decousus H, CALISTO Study Group. Clinical relevance of symptomatic superficial-vein thrombosis extension: lessons from the CALISTO study. Blood. 2013; 122: 1724-1729.

Kearon C, Akl EA, Comerota AJ, Prandoni P, Bounameaux H, Goldhaber, et al. Antithrombotic therapy for VTE disease: antithrombotic therapy and prevention of thrombosis: American College of Chest Physicians evidence based clinical practice guidelines. CHEST. 2012; 141(2_suppl): e419S–e494S.

Di Nisio M, Wichers IM, Middeldorp S. Treatment for superficial thrombophlebitis of the leg (Review). Cochrane Database of Systematic Reviews. 2018; Issue 2. Art. No.: CD004982. Doi: https://doi.org/10.1002/14651858.CD004982.pub6.

Scott G, Mahdi AJ, Alikhan R. Superficial vein thrombosis: a current approach to management. Br J Haematol. 2015; 168: 639-645.

Published

2018-08-31

How to Cite

1.
Cruz-Caparrós MG, Rivera-Cívico F, Criado-García J, Talavera-García E, Limia-Pérez L. Management of superficial thrombophlebitis in pregnant women. Rev Esp Casos Clin Med Intern [Internet]. 2018 Aug. 31 [cited 2024 Jul. 3];3(2):102-4. Available from: https://www.reccmi.com/RECCMI/article/view/297

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