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Sept 16, 1968

Ligation of the Inferior Vena Cava In Early Pregnancy

Author Affiliations

USAF Minot, ND

JAMA. 1968;205(12):885. doi:10.1001/jama.1968.03140380089031

To the Editor:—  The possibility of morbidity and mortality due to pulmonary thromboembolism is a real one, even in young adults.1,2 We have recently encountered a case in which ligation of the inferior vena cava was performed early in pregnancy for pulmonary thromboembolism which occurred bilaterally. Ligation of the inferior vena cava during pregnancy has been only rarely reported.3,4

Report of a Case:—  A 32-year-old woman was hospitalized on July 16, 1966, because of pleuritic pain in the right upper quadrant of the abdomen of several hours' duration. There was also some nausea and vomiting. The referring physician suspected cholecystitis.The patient's last menstrual period had been May 14, 1966. The patient was in the tenth week of her sixth pregnancy. The first pregnancy was complicated by toxemia at term. The next three pregnancies were uncomplicated. The fifth terminated in spontaneous complete abortion at approximately four months. She