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Pregnancy is a prothrombotic condition. Increased viscosity of blood, prolonged venous stasis and vascular endothelial damage all predispose to venous thrombosis.1 Women with protein C and protein S deficiency, factor V Leiden, Lupus anticoagulant, anticardiolipin antibodies and β2-glycoprotein increase the risk of thrombosis. The more proximal the DVT, the greater are the symptoms.2 Iliofemoral DVT is an under diagnosed condition with a high morbidity and a not inconsiderable risk of amputation. Affected patients may present with a phlegmasia cerulean dolens (PCD) which heralds impending gangrene. Subsequently we have described a case of recurrent multiple postpartum deep vein thrombosis managed by pharmaco-mechanical thrombectomy.

Pharmaco-mechanical Thrombectomy for Recurrent and Multiple Deep Vein Thrombosis in Puerperium