open access

Vol 91, No 6 (2020)
ORIGINAL PAPERS Obstetrics
Published online: 2020-06-30
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Successful pregnancy in women with inferior vena cava stenosis — case report and discussion

Marta Janicka, Dagmara Filipecka-Tyczka, Aneta Slabuszewska-Jozwiak, Radoslaw Pietura, Grzegorz Jakiel
DOI: 10.5603/GP.a2020.0052
·
Pubmed: 32627154
·
Ginekol Pol 2020;91(6):331-333.

open access

Vol 91, No 6 (2020)
ORIGINAL PAPERS Obstetrics
Published online: 2020-06-30

Abstract

Objectives: Inferior vena cava syndrome (IVCS) is a heterogenous group of symptoms resulting in obstruction of the main
vein inflow . Common reasons are thrombotic changes and tumors. Incidence of inferior vena cava (IVC) anomalies is 0.3%
in general population. Iatrogenic IVC lesions caused by catheter insertion play increasing role. Treatment varies depending
on the condition.
Material and methods: 32-year old patient was diagnosed with IVC stenosis during infertility related preconception
evaluation and informed about increased risk in planned pregnancy. Throughout the well progressing pregnancy patient
received low molecular weight heparin.
Results: The diagnosis was confirmed intraoperatively during the planned cesarean section. Early postpartum period was
normal and patient was discharged with antithrombotic prophylaxis.
Conclusions: Isolated IVC stenosis in pregnancy has not been yet reported in medical literature. Even though IVC anomalies
may be associated with other congenital changes, in this case the central venous line treatment in infancy seems to be the
most likely cause. Malformations are often accidentally diagnosed because patients are usually asymptomatic. CT and MRI
are recommended diagnostic tools. Conservative treatment is recommended for asymptomatic patients, as opposed to
surgical treatment for symptomatic. However, due to condition's rarity, there is no evidence based approach management.

Abstract

Objectives: Inferior vena cava syndrome (IVCS) is a heterogenous group of symptoms resulting in obstruction of the main
vein inflow . Common reasons are thrombotic changes and tumors. Incidence of inferior vena cava (IVC) anomalies is 0.3%
in general population. Iatrogenic IVC lesions caused by catheter insertion play increasing role. Treatment varies depending
on the condition.
Material and methods: 32-year old patient was diagnosed with IVC stenosis during infertility related preconception
evaluation and informed about increased risk in planned pregnancy. Throughout the well progressing pregnancy patient
received low molecular weight heparin.
Results: The diagnosis was confirmed intraoperatively during the planned cesarean section. Early postpartum period was
normal and patient was discharged with antithrombotic prophylaxis.
Conclusions: Isolated IVC stenosis in pregnancy has not been yet reported in medical literature. Even though IVC anomalies
may be associated with other congenital changes, in this case the central venous line treatment in infancy seems to be the
most likely cause. Malformations are often accidentally diagnosed because patients are usually asymptomatic. CT and MRI
are recommended diagnostic tools. Conservative treatment is recommended for asymptomatic patients, as opposed to
surgical treatment for symptomatic. However, due to condition's rarity, there is no evidence based approach management.

Get Citation

Keywords

inferior vena cava stenosis; inferior vena cava anomalies; varicose veins of parametrium; pregnancy complications

About this article
Title

Successful pregnancy in women with inferior vena cava stenosis — case report and discussion

Journal

Ginekologia Polska

Issue

Vol 91, No 6 (2020)

Pages

331-333

Published online

2020-06-30

DOI

10.5603/GP.a2020.0052

Pubmed

32627154

Bibliographic record

Ginekol Pol 2020;91(6):331-333.

Keywords

inferior vena cava stenosis
inferior vena cava anomalies
varicose veins of parametrium
pregnancy complications

Authors

Marta Janicka
Dagmara Filipecka-Tyczka
Aneta Slabuszewska-Jozwiak
Radoslaw Pietura
Grzegorz Jakiel

References (16)
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