Case Report  |   January 2016
Management of Acute Isolated Soleal Vein Thrombosis in a Pregnant Patient With an Osteopathic Approach to Evaluation
Author Notes
  • From the Department of Obstetrics and Gynecology (Drs Martingano and Aglialoro) and the Department of Vascular Surgery (Dr Eisenberg) at NYU Lutheran Medical Center in Brooklyn. 
  •  *Address correspondence to Daniel Martingano, DO, NYU Lutheran Medical Center, 150 55th St, Brooklyn, NY 11220-2508. E-mail danielmartinganodo@gmail.com
     
Article Information
Cardiovascular Disorders / Obstetrics and Gynecology
Case Report   |   January 2016
Management of Acute Isolated Soleal Vein Thrombosis in a Pregnant Patient With an Osteopathic Approach to Evaluation
The Journal of the American Osteopathic Association, January 2016, Vol. 116, 50-54. doi:10.7556/jaoa.2016.006
The Journal of the American Osteopathic Association, January 2016, Vol. 116, 50-54. doi:10.7556/jaoa.2016.006
Abstract

In pregnant women, the risk of venous thromboembolism increases 4 to 5 fold over that in nonpregnant women. Deep vein thromboses in the calf occur in approximately 6% of cases, with a 20% incidence of propagation, but new imaging methods suggest a higher rate. Nevertheless, the management of isolated soleal vein thrombosis is currently one of the most debated issues in the field of venous thromboembolism, and a clear set of principles for the management of this unique clinical problem remains undefined. The authors present the case of a 37-year-old woman with a history of recurrent spontaneous abortions and cervical insufficiency who presented with a short cervix and acute right isolated soleal vein thrombosis. Long-term anticoagulantion therapy was recommended. Future studies on the risk of isolated soleal vein thrombosis propagation in the setting of pregnancy are required to identify the most effective treatment options for this clinical problem.

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