An unexpected complication of prophylactic enoxaparin in an adolescent female

Venous thromboembolism (VTE) is a severe medical condit ion associated with increased morbidity, mortality, hospital length of stay, and healthcare costs [1,2]. While well-documented in adults, managing and understanding pediatric VTE remains challenging for healthcare providers. Currently, there are no validated guidelines for pediatric thromboprophylaxis, leading many hospitals to adopt a stratified approach based on bleeding and VTE risk factors [3]. This case report aims to describe the management and outcome of a 14-year-old female who developed VTE following a motor vehicle collision.