Deep Vein Thrombosis in Post-partum Case of Caesarean Section: A Case Report

Deep vein thrombosis (DVT) is one of the causes of maternal morbidity and mortality. Its incidence is about 1 per 1000 deliveries, of which 1-2% are fatal. In pregnancy, the risk of DVT increases by 5-10 times and in caesarian section the risk further increases by 5-10 folds.The risk of thrombosis was highest in the third trimester of pregnancy and in the immediate postpartum period. Clinical features associated with lower limb thrombosis are: Edema, tenderness, positive Homan sign. Ultrasound is more useful in the diagnosis of proximal DVT (femoral and popliteal veins). We are reporting a case of 33-year-old female presented to our hospital with complaints of 38 weeks pregnancy with labor pains. She had no personal or family history of thromboembolism. For fetal distress, her caesarian section was performed. On the 3 rd post-operative day, she developed swelling, tenderness, edema and redness in the right lower limb. Color Doppler ultrasound showed thrombosis of external iliac, femoral, popliteal and tibial vein. Antithrombotic therapy was started, and compression bandage was done and patient responded to the therapy. Early ambulation in post-operative period is crucial to prevent such deadly complication.

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