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Case 4 - A 50-Year-Old Woman with Prior DVT Undergoing Hysterectomy

Published online by Cambridge University Press:  19 November 2021

By
Jacqueline Rohl
Edited by
Todd R. Jenkins ,
Lisa Keder ,
Abimola Famuyide ,
Kimberly S. Gecsi  and
David Chelmow
Todd R. Jenkins
Affiliation:
University of Alabama, Birmingham
Lisa Keder
Affiliation:
Ohio State University School of Medicine, Columbus
Abimola Famuyide
Affiliation:
Mayo Clinic, Rochester
Kimberly S. Gecsi
Affiliation:
Medical College of Wisconsin
David Chelmow
Affiliation:
Virginia Commonwealth University School of Medicine
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Summary

A 50-year-old, gravida 1, para 1, with prior deep vein thrombosis (DVT) presents for a preoperative visit due to upcoming hysterectomy. She is scheduled for a total abdominal hysterectomy due to abnormal uterine bleeding and uterine fibroids. The patient’s medical history is significant for obesity and prior history of DVT. Her DVT occurred 10 years ago and was unprovoked. She completed a course of anticoagulation with warfarin for three months. She takes aspirin 81 mg a day. She has no family history of thromboembolic disease. She does not smoke. She is sexually active with one female partner. She has had one prior cesarean section and one vaginal delivery.

Keywords

venous thromboembolismprophylaxisCaprinipneumatic compression
Type
Chapter
Information
Surgical Gynecology
A Case-Based Approach
 , pp. 9 - 11
Publisher: Cambridge University Press
Print publication year: 2021

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References

Spencer, F, Lessard, D, Emery, C, et al. Venous thromboembolism in the outpatient setting. Arch Intern Med 2007; 167: 1471–5.CrossRefGoogle ScholarPubMed
Virchow, R. Neuer fall von todlichen. Emboli der Lungenarterie. Arch Pathol Anat 1856; 10: 225–8.CrossRefGoogle Scholar
Gould, MK, Garcia, DA, Wren, SM, et al. Prevention of VTE in nonorthopedic surgical patients: Antithrombotic Therapy and Prevention of Thrombosis, 9th ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines Chest 2012; 141: e227S–77S.CrossRefGoogle ScholarPubMed
Caprini, JA. Thrombosis risk assessment as a guide to quality patient care. Dis Mon 2005; 51: 70–8.CrossRefGoogle ScholarPubMed
Caprini, JA. Why thromboprophylaxis fails. Vasc Dis Manage 2009; 6: 47–51.Google Scholar
Bahl, V, Hu, HM, Henke, PK, et al. A validation study of a retrospective venous thromboembolism risk scoring method. Ann Surg 2010; 251: 344–50.CrossRefGoogle ScholarPubMed
Guyatt, GJ, Akl, EZ, Crowth, M, et al. Executive Summary: Antithrombotic Therapy and Prevention of Thrombosis, 9th ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines. Chest 2012; 141: 7S–47S.CrossRefGoogle ScholarPubMed
Mismetti, P, Laporte, S, Darmon, JY, et al. Meta-analysis of low molecular weight heparin in the prevention of venous thromboembolism in general surgery. Br J Surg 2001; 88: 913–30.Google ScholarPubMed
Pai, M, Douketis, J. Prevention of venous thromboembolic disease in adult nonorthopedic surgical patients. In: Leung, LL, Mandel, J, eds., UpToDate; 2019. Available at: www.uptodate.com/contents/prevention-of-venous-thromboembolic-disease-in-adult-nonorthopedic-surgical-patients (Accessed September 19, 2020.)Google Scholar
Douketis, J D, Spryropoulos, AC, Spencer, FA, et al. Perioperative management of antithrombotic therapy: Antithrombotic Therapy and Prevention of Thrombosis, 9th ed: American College of Chest Physicians. Evidence-Based Clinical Practice Guidelines. Chest 2012; 141: e326S–50S.CrossRefGoogle ScholarPubMed

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