Abstract
We report a case of extensive early postpartum acute suprarenal inferior vena cava thrombosis in a 14-year-old girl. Management included catheter-directed-thrombolysis, aiming to save renal function and prevent fatal pulmonary embolism. Treatment decisions were mostly based on adult guidelines, as guidelines for the paediatric population are not yet available.
Keywords:
Children; catheter- directed thrombolysis; deep venous thrombosis; pregnancy.
MeSH terms
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Activated Protein C Resistance / complications
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Activated Protein C Resistance / genetics
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Acute Disease
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Adolescent
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Anticoagulants / administration & dosage
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Catheterization, Central Venous*
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Computed Tomography Angiography
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Factor V / genetics
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Female
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Fibrinolytic Agents / administration & dosage*
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Humans
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Infusions, Intravenous
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Mutation
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Phlebography / methods
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Postpartum Period
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Pregnancy
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Pregnancy Complications, Cardiovascular / diagnostic imaging
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Pregnancy Complications, Cardiovascular / drug therapy*
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Pregnancy Complications, Cardiovascular / genetics
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Protein S Deficiency / complications
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Protein S Deficiency / genetics
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Risk Factors
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Thrombolytic Therapy*
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Tissue Plasminogen Activator / administration & dosage*
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Treatment Outcome
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Vena Cava, Inferior / diagnostic imaging
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Vena Cava, Inferior / drug effects*
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Venous Thrombosis / diagnostic imaging
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Venous Thrombosis / drug therapy*
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Venous Thrombosis / genetics
Substances
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Anticoagulants
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Fibrinolytic Agents
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factor V Leiden
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Factor V
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Tissue Plasminogen Activator