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; Mudar Dalloul; Henry James Behar; Ghadir Salame; Roy Holland; Harry Zinn; Ovadia Abulafia

doi:10.1055/s-0035-1551675

American Journal of Perinatology Reports, Table of Contents

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

¹Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, State University of New York, Downstate Medical Center, Brooklyn, New York

,

Mudar Dalloul

¹Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, State University of New York, Downstate Medical Center, Brooklyn, New York

,

Henry James Behar

¹Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, State University of New York, Downstate Medical Center, Brooklyn, New York

,

Ghadir Salame

²Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, State University of New York, Downstate Medical Center, Brooklyn, New York

,

Roy Holland

¹Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, State University of New York, Downstate Medical Center, Brooklyn, New York

,

Harry Zinn

³Department of Radiology, State University of New York, Downstate Medical Center, Brooklyn, New York

,

Ovadia Abulafia

²Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, State University of New York, Downstate Medical Center, Brooklyn, New York

› Author Affiliations

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

Full Text

References

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