Ho Peiying Audrey
University College Dublin
Title: Case Study in a lady with extensive venous thrombosis
Biography
Biography: Ho Peiying Audrey
Abstract
32 year old lady presented with dizziness, 1 week history of peri-umbilical abdominal pain and back pain not associated with recent trauma. It was found that she had symptomatic anemia with Hb 4.4. CTAP showed thrombosis of the right, proximal left and main portal veins, splenic, superior mesenteric veins and the right renal vein extending to the intrahepatic inferior vena cava. Fibroid measuring 9.5 x 8.5 x 8.0 cm was the likely cause of menorrhagia leading to her anemia. She was extensively worked up for auto-immune disease markers eg. Lupus anticoagulant, ANA, anti-cardiolipin, anti-b2, all of which were negative. Coagulation panel markers were slight deranged, with APTT 40.7, PT 15.3. After transfusion with 3 pints to reach a post-transfusion Hb level of 7.9, she was started on clexane and bridged to warfarin, for at least 6 months of anticoagulation with haematology input.