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Successful pregnancy in women with inferior vena cava stenosis — case report and discussion
- Saint Sophia Hospital, Warsaw, Poland
- Department of Reproductive Health, Centre of Postgraduate Medical Education, Warsaw, Poland
- 1st Department of Obstetrics and Gynecology, Centre of Postgraduate Medical Education, Warsaw, Poland
- Department of Radiography, Lublin, Poland
- 1st Department of Obstetrics and Gynecology, Centre of Postgraduate Medical Education, Warsaw, Poland
open access
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.
Keywords
inferior vena cava stenosis; inferior vena cava anomalies; varicose veins of parametrium; pregnancy complications
Title
Successful pregnancy in women with inferior vena cava stenosis — case report and discussion
Journal
Issue
Article type
Research paper
Pages
331-333
Published online
2020-06-30
Page views
894
Article views/downloads
2115
DOI
Pubmed
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
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