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A Multicenter MRI Protocol for the Evaluation and Quantification of Deep Vein Thrombosis
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Managing Multifactorial Deep Vein Thrombosis in an Adolescent: A Complex Case Report
Măriuca Mănescu1, Alina Grama2, Andreea Ligia Dincă2
1Emergency County Hospital Targu-Mures, Targu Mures, Romania.
Deep vein thrombosis (DVT) is increasingly diagnosed in children and adolescents. This case highlights complex DVT in a young woman despite prophylaxis, emphasizing the need for personalized pediatric care.
Area of Science:
- Pediatric Medicine
- Hematology
- Vascular Medicine
Background:
- Deep vein thrombosis (DVT) incidence is rising in pediatric populations due to evolving risk factors and lifestyle changes.
- Pediatric DVT presents unique challenges, necessitating tailored management strategies beyond standard protocols.
Observation:
- A 17-year-old female presented with extensive DVT post-childbirth, complicated by secondary thrombocytosis and infection.
- Risk factors included obesity, a large splenic cyst, postpartum status, central venous catheter, recent surgery, and immobility.
Findings:
- The patient developed severe DVT despite receiving anticoagulant prophylaxis and low-molecular-weight heparin therapy.
- This case underscores that DVT in pediatric patients with multiple comorbidities may resist standard treatments.
Implications:
- Pediatric DVT management requires an interdisciplinary approach for complex cases.
- Further research into understanding and treating pediatric DVT is crucial for improving patient outcomes.
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