Case Report
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. May 6, 2022; 10(13): 4226-4235
Published online May 6, 2022. doi: 10.12998/wjcc.v10.i13.4226
Thrombotic pulmonary embolism of inferior vena cava during caesarean section: A case report and review of the literature
Lan Jiang, Wei-Xiang Liang, Yi Yan, Shou-Ping Wang, Li Dai, Dun-Jin Chen
Lan Jiang, Wei-Xiang Liang, Li Dai, Department of Medical Ultrasound, The Third Affiliated Hospital of Guangzhou Medical University, Guangzhou 510150, Guangdong Province, China
Yi Yan, Department of Cardiology, The Third Affiliated Hospital of Guangzhou Medical University, Guangzhou 510150, Guangdong Province, China
Shou-Ping Wang, Department of Anesthesiology, The Third Affiliated Hospital of Guangzhou Medical University, Guangzhou 510015, Guangdong Province, China
Dun-Jin Chen, Department of Obstetrics and Gynecology, The Third Affiliated Hospital of Guangzhou Medical University, Guangzhou 510015, Guangdong Province, China
Author contributions: Jiang L performed the echocardiography, reviewed the literatures and contributed to manuscript drafting; Liang WX and Yan Y reviewed and modified the manuscript; Wang SP collated clinical data; Dai L analyzed and interpreted the imaging; Chen DJ was responsible for the revision of the manuscript for important intellectual content; all authors read the final manuscript.
Supported by the National Natural Science Foundation of China, No. 81870320; and the Health Science and Technology Project of Guangzhou, No. 20191A011086.
Informed consent statement: Informed written consent was obtained from the patients for the publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Dun-Jin Chen, MD, PhD, Chief Doctor, Department of Obstetrics and Gynecology, The Third Affiliated Hospital of Guangzhou Medical University, No. 63 Duobao Road, Guangzhou 510015, Guangdong Province, China. gzdrchen@gzhmu.edu.cn
Received: September 23, 2021
Peer-review started: September 23, 2021
First decision: January 10, 2022
Revised: January 21, 2022
Accepted: March 16, 2022
Article in press: March 16, 2022
Published online: May 6, 2022
Processing time: 218 Days and 18.9 Hours
Core Tip

Core Tip: Thrombotic pulmonary embolism (TPE) is one of the most critical diseases in obstetrics but is rarely reported in caesarean section (CS), especially thrombus originating from the inferior vena cava. This case report describes a 37-year-old pregnant woman with rheumatic heart disease who developed TPE during CS and recorded the whole process by transthoracic echocardiography. This case provided experience for the differential diagnosis of amniotic fluid embolism in CS. This case also reminds us of the importance of pregnancy management and prophylactic anticoagulants in pregnant women with heart disease, and if not, an intensive care team is needed to ensure patient safety.