Bilateral Deep Vein Thrombosis in an Adolescent with Congenital Rubella Syndrome: A Case Report

Kellyn Trycia  Zenjaya; Lindawati  Wijoyo; Santika  Danubrata; Hendrata Erry  Andisari; Febryanti  Hartono

doi:10.18502/jthc.v21i2.21698

Kellyn Trycia Zenjaya Faculty of Medicine, Hang Tuah University, Surabaya, Indonesia.
Lindawati Wijoyo Faculty of Medicine, Hang Tuah University, Surabaya, Indonesia.
Santika Danubrata Faculty of Medicine, Hang Tuah University, Surabaya, Indonesia.
Hendrata Erry Andisari Department of Internal Medicine, Dr Ramelan Naval Centre Hospital, Surabaya, Indonesia.
Febryanti Hartono Department of Cardiology and Vascular Medicine, Dr Ramelan Naval Centre Hospital, Surabaya, Indonesia.

DOI: https://doi.org/10.18502/jthc.v21i2.21698

Keywords: Bilateral Deep Vein Thrombosis; Congenital Rubella Syndrome; Thromboembolism

Abstract

Bilateral deep vein thrombosis (DVT) is a rare condition among adolescents and represents an uncommon pattern of venous thromboembolism. We report a case of bilateral DVT occurring in the setting of severe pulmonary hypertension and right-sided heart failure secondary to congenital heart disease associated with congenital rubella syndrome (CRS). A 19-year-old female patient, with a history of CRS characterized by the classical triad of unilateral cataract, sensorineural deafness, and congenital heart disease, was admitted to our hospital with shortness of breath, swelling in both legs, and abdominal discomfort. Doppler ultrasonography demonstrated partial thrombotic obstruction of the femoral, popliteal, and posterior tibial veins in both lower extremities. A diagnosis of DVT was established on the fourth day of hospitalization. This case highlights the importance of considering bilateral DVT in patients with CRS who present with lower extremity edema, particularly in the presence of cardiovascular complications.