Acute right iliofemoral deep vein thrombosis mimicking acute appendicitis in the postpartum period: a case report

Abstract

The risk of venous thromboembolism increases during pregnancy and postpartum. The incidence in the first six weeks following delivery is approximately 0.15%. Deep vein thrombosis may present with acute appendicitis-like symptoms such as right iliac fossa pain, nausea and vomiting. A 22-year-old woman was admitted with complaints of abdominal pain and vomiting 20 days after spontaneous vaginal delivery. Physical examination and radiological findings were compatible with acute appendicitis. Preoperative re-examination and re-evaluation of computed tomography revealed concomitant deep vein thrombosis on the right side. The patient underwent laparotomy and a normal appendix and ovaries were found. She had an uneventful recovery. Anticoagulant treatment was administered for six months. Early and correct diagnosis should be established to avoid complications of deep vein thrombosis and prevent unnecessary surgical interventions. Physicians should be aware of deep vein thrombosis in women who present acute appendicitis-like symptoms, especially during pregnancy and in the postpartum period.

Application of CT Scan in Diagnosis of Iliac-Femoral Vein Thrombosis after Hip Replacement

“…Major orthopedic surgery, femoral shaft fracture, femoral neck fracture, and other operations, especially bone joint replacement, are prone to thrombosis in lower limb veins due to the long operation time and complicated operation process. During surgery, the body tissue and blood vessels are pulled for a long time, causing tissue damage and then activating the endogenous and exogenous coagulation system [ 22 , 23 ]. After the coagulation system is started, the coagulation factors in the blood increase, while the operation causes damage to the intima of the blood vessel wall.…”