Academic OB/GYN Cases – DVT in Pregnancy
A 25 year old 12 week pregnant woman presents with increasing pain in her left leg…
DVTs are more common in pregnancy due to hypercoagulability of pregnancy, along with venous stasis from uterine compression. In this patient we can see the classic mottling of the left leg along with generalized swelling. The black marks are the beginning and end of the thrombus found in the popliteal / femoral vein at doppler ultrasound.
Categories: Academic OB/GYN Cases
I was diagnosed with (several) Pulmonary Embolus in both my upper and lower lobes of my right lung. I was 13 weeks pregnant. I never had any leg pain, but I did have what I thought was round ligament pain for a few weeks on my left side. I presented at the hospital with tachycardia (130-140’s), dizziness when standing, and was often short of breath. I put off going for quite a while, I tend to ignore the obvious. I also have a history of PAC’s, so being tachy from time to time is nothing new.
This was my third pregnancy, but first blood clot. What are the chances of it happening again?
I’m sorry you had that problem. This gets into the sticky problem of giving specific medical advice without a real doctor-patient relationship, which I have to avoid. In general, a history of a DVT and PE in pregnancy does increase the chance of the same in a future pregnancy. It is worth discussing with your OB prior to next pregnancy.
Hope that helps at least a bit!