Peurperal venous thrombosis

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Peurperal venous thrombosis

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Peurperal venous thrombosis

  1. 1. PEURPERAL VENOUSTHROMBOSIS
  2. 2. TYPES• DEEP VEIN THROMBOSIS (ILEO FEMORAL)• THROMBOPHLEBITIS (SUPERFICIAL AND DEEPVEINS)• SEPTIC PELVIC THROMBOPHLEBITIS• PULMONARY EMBOLUS
  3. 3. ETIOPATHOGENESIS• RISE IN COAGULATION FACTORS• ALTERATION IN BLOOD CONSTITUENTS• VENOUS STASIS
  4. 4. THROMBOPHILIASINHERITEDACQUIRED
  5. 5. OTHER RISK FACTORS• ADVANCED AGE• PARITY• OPERATIVE DELIVERY• OBESITY• ANEMIA• HEART DISEASE• INFECTION-NON PELVIC CELLULITIS• TRAUMA TO THE VENOUS WALL
  6. 6. DEEP VEIN THROMBOSIS
  7. 7. INVESTIGATIONSDOPPLER USGDUPLEXDOPPLER USGREAL TIMEUSGVENOGRAPHYFIBRINOGENSCANNING I251
  8. 8. PELVIC THROMBOPHLEBITIS
  9. 9. EXTRAPELVIC SPREAD• Through the right ovarian vein into the inferiorvenacava and then to lungs• Through the right ovarian vein to the left renalvein and then to kidney• Retrograde extension to iliofemoral veins toproduce “phegmasia albadolens” or white leg.
  10. 10. Pulmonary embolism

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