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Axillary vein thrombosis during pregnancy: a case report
I Ben-Shlomo1, G Azogui, A Prober
1Department of Obstetrics and Gynecology, Rebecca Sieff Hospital, Safed, Israel.
Obstetrics and Gynecology
|September 1, 1992
Summary
Pregnancy can cause axillary vein thrombosis, a condition affecting the arm. Heparin treatment is effective for this condition during pregnancy.
Area of Science:
- Obstetrics and Gynecology
- Vascular Medicine
Background:
- Axillary vein thrombosis (AVT) is a rare but serious condition.
- Pregnancy is associated with an increased risk of venous thromboembolism.
Observation:
- A 32-year-old pregnant woman presented with progressive right arm swelling, cyanosis, and a palpable radial pulse at 32 weeks' gestation.
- Phlebography revealed a 5-cm thrombus in the axillary vein.
Findings:
- Intravenous heparin led to rapid resolution of symptoms.
- Subcutaneous heparin was used for prophylaxis until cesarean delivery at 39 weeks.
- Diagnosis can be made via phlebography or duplex scanning.
- Heparin is the preferred treatment for AVT in pregnancy.
Implications:
- Early diagnosis and heparin treatment are crucial for managing AVT in pregnant patients.
- Thrombolytic therapy is reserved for severe, life-threatening complications like pulmonary embolism.