Venous thrombosis of the lower extremity in a 13-year-old patient

Abstract

The article presents a clinical case of lower extremity vein thrombosis in a 13-year-old child, which occurred against the background of postcoid syndrome. Onset of the disease acute fever up to 38 ⁰C, abdominal pain. Diagnostic laparoscopy performed in the central district hospital. Diagnosis: right ovarian apoplexy, cystic ovaries, adhesions, anemiya (hemoglobin - 75 g/l, dizziness, weakness). Prior to that autoimmune thyroiditis was diagnosed. On the 6th day after laparoscopy, fever up to 39,2 ⁰C, pain in the popliteal pits and lower legs appeared. Laboratory data showed an increase in all inflammatory markers (CRP, D-dimer, ferritin). Ultrasound imaging revealed occlusive thrombosis of the sural veins of both lower extremities. The patient received low molecular weight heparin, antucosgulants, aspirin, diclofenac as treatment. As a result of the adequately selected therapy, positive dynamics are noted.