雑誌文献を検索します。書籍を検索する際には「書籍検索」を選択してください。

検索

書誌情報 詳細検索 by 医中誌

Japanese

A case of recurrence of pulmonary thromboembolism after laparoscopic-assisted resection for transverse colon cancer, which occurred in spite of thrombolytic therapy before surgery Yasunori YOSHIMOTO 1 , Toshihiro ABE 1 , Takahisa FUJIKAWA 1 , Norihiro SHIMOIKE 1 , Seiichiro TADA 1 , Masato FUKUNAGA 2 1Department of Surgery, Kokura Memorial Hospital 2Department of Cardiovascular internal medicine, Kokura Memorial Hospital Keyword: 肺血栓塞栓症 , 深部静脈血栓症 , 腹腔鏡下手術 pp.701-707
Published Date 2013/11/15
DOI https://doi.org/10.11477/mf.4426101017
  • Abstract
  • Look Inside
  • Reference

A 72-year-old woman who was referred for further examination of anemia was found to have advanced transverse colon cancer. Preoperative CT findings showed pulmonary thromboembolism(PTE) and deep vein thrombosis(DVT) of the left leg. After continuous intravenous injection of heparin for one week, disappearance of PTE and size reduction of the DVT were observed. Laparoscopic-assisted resection for transverse colon cancer with D3 lymph node dissection was performed. On the 2nd postoperative day(POD), she started ambulation with continuous intravenous injection of heparin. After she was done walking and urination under the strict observation at intensive care unit, she returned to the general ward on 4th POD. On the same day, she suddenly complained of chest pain with cold sweat and hypoxemia immediately after defecation. She was diagnosed as a recurrence of PTE and regrowth of DVT on CT. Her symptoms were improved immediately after emergency percutaneous thrombus aspiration. Other operative courses were without major problems, and warfarin was replaced with heparin. She recovered and was discharged in about one month after surgery.


Copyright © 2013, JAPAN SOCIETY FOR ENDOSCOPIC SURGERY All rights reserved.

基本情報

電子版ISSN 2186-6643 印刷版ISSN 1344-6703 日本内視鏡外科学会

関連文献

もっと見る

文献を共有