title: Right iliac vein thrombosis mimicking acute appendicitis in pregnancy: a case report.
abstract: BACKGROUND
  Right iliac vein thrombosis is uncommon in pregnancy. Nonetheless, when it does occur, its presentation could be very unspecific with important diagnostic challenges and this could have negative therapeutic consequences especially in a resource limited setting.
  
  
  METHODS
  The historical, clinical and laboratory data of a 30 year old G2P1001 woman of African ethnicity at 11 weeks of gestation pointed towards a right iliac vein thrombosis missed for an acute appendicitis with subsequent appendectomy and failure to cure. Following the diagnosis of right iliac vein thrombosis post-appendectomy, the patient was started on low molecular weight heparin and the clinical progress thereafter was favourable.
  
  
  CONCLUSIONS
  Pelvic vein thrombosis should be considered a differential diagnosis of intractable lower abdominal pain in early pregnancy. A high index of suspicion could lead to early diagnosis, prompt management and a favourable prognosis even in a low-income setting.
authors.affiliation: Nkwen Baptist Health Center, Bamenda, Cameroon. arokedess@hotmail.com.|Health and Human Development (2HD) Research Group, Douala, Cameroon. arokedess@hotmail.com.
authors.forename: Desmond
authors.identifier: http://orcid.org/0000-0001-7557-7777
authors.initials: D
authors.lastname: Aroke
authors.affiliation: Presbyterian General Hospital Acha-Tugi, Acha, Cameroon.
authors.forename: Benjamin Momo
authors.initials: BM
authors.lastname: Kadia
authors.affiliation: Health and Human Development (2HD) Research Group, Douala, Cameroon.|Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, UK.
authors.forename: Christian Akem
authors.initials: CA
authors.lastname: Dimala
authors.affiliation: Penka Michel District Hospital, Penka-Michel, Cameroon.
authors.forename: Ndemazie Nkafu
authors.initials: NN
authors.lastname: Bechem
authors.affiliation: Banso Baptist Hospital, Kumbo, Cameroon.
authors.forename: Larry Tangie
authors.initials: LT
authors.lastname: Ngek
authors.affiliation: Health and Human Development (2HD) Research Group, Douala, Cameroon.|Faculty of Health Sciences, University of Buea, Buea, Cameroon.|Department of Internal Medicine, Douala General Hospital, Douala, Cameroon.
authors.forename: Simeon Pierre
authors.initials: SP
authors.lastname: Choukem
mesh_terms: D015746:Abdominal Pain / Q000209:etiology; D000208:Acute Disease; D000328:Adult; D001062:Appendectomy; D001064:Appendicitis / Q000175:diagnosis* / Q000503:physiopathology; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007084:Iliac Vein / Q000503:physiopathology*; D011203:Poverty; D011247:Pregnancy; D011379:Prognosis; D020246:Venous Thrombosis / Q000175:diagnosis* / Q000503:physiopathology
keywords: Appendicitis; Case report; Pregnancy; Right iliac vein thrombosis