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AJP Rep 2015; 05(02): e129-e131
DOI: 10.1055/s-0035-1551675
Case Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Peripartum Primary Prophylaxis Inferior Vena Cava Filter Placement in a Patient with Stage IV B-Cell Lymphoma Presenting with a Pathologic Femur Fracture

David M. Sherer
1   Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, State University of New York, Downstate Medical Center, Brooklyn, New York
,
Mudar Dalloul
1   Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, State University of New York, Downstate Medical Center, Brooklyn, New York
,
Henry James Behar
1   Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, State University of New York, Downstate Medical Center, Brooklyn, New York
,
Ghadir Salame
2   Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, State University of New York, Downstate Medical Center, Brooklyn, New York
,
Roy Holland
1   Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, State University of New York, Downstate Medical Center, Brooklyn, New York
,
Harry Zinn
3   Department of Radiology, State University of New York, Downstate Medical Center, Brooklyn, New York
,
Ovadia Abulafia
2   Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, State University of New York, Downstate Medical Center, Brooklyn, New York
› Author Affiliations
Further Information

Publication History

24 December 2014

10 March 2015

Publication Date:
15 May 2015 (online)

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Abstract

Background Pulmonary embolus (PE) remains a leading etiology of maternal mortality in the developed world. Increasing utilization of retrievable inferior vena cava (IVC) filter placement currently includes pregnant patients.

Case A 22-year-old woman at 27 weeks' gestation was diagnosed with Stage IV high-grade malignant B cell lymphoma following pathologic femur fracture. Significant risk factors for PE led to placement of primary prophylaxis IVC filter before cesarean delivery, open reduction and internal fixation of the fractured femur, and chemotherapy.

Conclusion This case supports that primary prophylaxis placement of IVC filters in highly selected pregnant patients may assist in decreasing PE-associated maternal mortality.

Keywords

inferior vena cava filter - pregnancy - pulmonary embolus - prophylaxis - metastatic lymphoma
 

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