Management of Postpartum Deep Vein Thrombosis with Inferior Vena Cava Filter Placement: A Case Report

After caesarean sections, Deep Vein Thrombosis (DVT) is a serious complication that increases the risk of maternal morbidity and mortality. Immobility, obesity, thrombophilia and emergency caesarean sections are additional risk factors that can lead to the development of DVT. Symptoms of DVT include oedema, pelvic and lower limb pain and unilateral leg swelling. The primary purpose of Inferior Vena Cava (IVC) filters is to prevent blood clots from entering the lungs, where they can cause a potentially fatal pulmonary embolism. The placement of an IVC filter can be a crucial intervention to protect maternal health in the setting of postoperative DVT, where the risk of embolism is increased. In this case, a 27-year-old multiparous woman underwent an emergency caesarean section for foetal distress and developed unilateral pedal oedema postoperatively. A venous Doppler confirmed acute DVT in the right lower limb. She was managed with IVC filter placement, mechanical thrombectomy, thrombolysis and anticoagulation therapy. Comprehensive postoperative care included antibiotics, analgesics, physiotherapy and supervised mobilisation, ensuring safe breastfeeding under the guidance of neonatology. Regular wound care revealed healthy healing and the patient demonstrated complete recovery without complications. This case underscores the importance of early diagnosis, multidisciplinary management and vigilance in addressing postpartum DVT to prevent life-threatening complications.