AJP Rep 2016; 06(01): e71-e73
DOI: 10.1055/s-0035-1566250
Case Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Phlegmasia Cerulea Dolens and May–Thurner Syndrome in the first trimester of Pregnancy

Aliya B. Ladha
1   Department of Obstetrics, Gynecology and Reproductive Sciences, Magee-Women's Hospital of UPMC, Pittsburgh, Pennsylvania
,
Rizwana Fareeduddin
2   Maternal Fetal Medicine, North Florida Regional Medical Center, Gainesville, Florida
› Author Affiliations
Further Information

Publication History

08 June 2015

18 September 2015

Publication Date:
16 November 2015 (online)

Abstract

Background Venous thromboembolism in pregnancy remains one of the leading causes of morbidity and mortality.

Case A young, gravid patient presented with a cyanotic, edematous left lower extremity with no distal pulses palpable. She was emergently taken to the operating room and was found to have extensive iliofemoral thrombosis requiring femoral angioplasty and embolectomy with 43.7-rad intraoperative radiation exposure. Phlegmasia cerulea dolens and May–Thurner syndrome were diagnosed.

Conclusion Timely diagnosis and prompt surgical management are necessary due to the limb-threatening nature of this condition. Despite maternal radiation exposure, the nature and extent of fetal effects depends upon radiation dose and gestational age.

 
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