Abstract
Gravidity and predominantly postpartum period is generally associated with a substantial risk of thromboembolic disease, and puerperal infections have an additional impact on this risk. Venous thrombosis in postpartum period is severe and potentially life-threatening complication.
In the clinical management, it is important to balance risks associated with anticoagulation therapy and thromboembolic risks. If full anticoagulation therapy is contraindicated and the risk of massive pulmonary embolism is high, inferior vena cava filter implantation should be considered.
We present a case of 31-year-old woman diagnosed with puerperal sepsis which was further complicated by extensive deep venous thrombosis of pelvic veins and inferior vena cava. Therapeutic plan was determined by multidisciplinary approach.
Therapeutic options were limited regarding significant bleeding risk. The patient underwent abdominal hysterectomy because of an uncontrollable infection.
Prior to the surgery an implantation of retrievable inferior vena cava filter as a prevention of massive pulmonary embolism during procedure was performed. This strategy led to successful management of infection and thromboembolism, but on the other hand it led to complications related to caval filter implantation.