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Nethuki Kulasinghe: Sequential Anticoagulation in Postpartum Iliocaval Thrombosis With Submassive PE and HIT

Nethuki Kulasinghe/LinkedIn

Jun 5, 2026, 15:29

Nethuki Kulasinghe: Sequential Anticoagulation in Postpartum Iliocaval Thrombosis With Submassive PE and HIT

Nethuki Kulasinghe, Medical Student at Grodno State Medical University, Medical Researcher, shared on LinkedIn about a recent article she and Khvoryk Natallia co-authored, published in SN Comprehensive Clinical Medicine, adding:

“Excited to share that I co-authored a new publication in SN Comprehensive Clinical Medicine, part of Springer Nature.

Our case report describes a rare and complex case of postpartum iliocaval thrombosis complicated by submassive pulmonary embolism and heparin-induced thrombocytopenia (HIT) in a patient with underlying protein C deficiency. The case highlights the successful use of sequential anticoagulation with rivaroxaban and apixaban after failure of heparins and fondaparinux.

This work contributes to the limited literature on HIT in the postpartum period and underscores the importance of early recognition, multidisciplinary management, and timely transition to non-heparin anticoagulation in life-threatening thromboembolic disease.

Grateful to collaborate with my mentor and the editorial team on this project. Looking forward to seeing how this evidence helps inform clinical practice and future research.”

Title: Postpartum Iliocaval Thrombosis, Complicated with Submassive Pulmonary Embolism and Heparin-Induced Thrombocytopenia in a Patient with Protein C deficiency: A Case Report

Authors: Khvoryk Natallia, K. A. Nethuki Kulasinghe

Nethuki Kulasinghe: Sequential Anticoagulation in Postpartum Iliocaval Thrombosis With Submassive PE and HIT