International Journal of Academic Health and Medical Research (IJAHMR)   Year: 2023 | Volume: 7 | Issue: 3 | Page No.: 6-7 Adrenal Vein Thrombosis during Pregnancy: About One Case Download PDF Sanae STIMOU, Hafsa TAHERI, Hanane SAADI, Ahmed MIMOUNI Abstract: Pregnancy constitutes a state of physiological hypercoagulability. Unilateral adrenal venous thrombosis in peripartum is very rare and is largely related to a compressive phenomenon by the gravid uterus but also favored by the state of hypercoagulability and venous stasis. We report the case of a 30 year old patient with no notable pathological history, pregnant with a 33 week amenorrhea pregnancy complicated by a right adrenal venous thrombosis. The incidence of venous thromboembolic disease increases with age. In women of childbearing age, it ranges from 0.40 to 0.70/1000 per year. During pregnancy, the risk is multiplied by 5, with the majority of deep vein thrombosis occurring during the 3rd trimester of pregnancy and in the postpartum period. Adrenal thrombosis is rare but should be considered in the presence of unexplained abdominal pain regardless of the term of the pregnancy. A thrombophilia test should be performed, but it is negative most of the time and it is a combination of personal risk factors. The treatment consists of curative anticoagulation to be continued for at least 3 months postpartum.