Acute massive pulmonary embolism following high ligation combined with compression sclerotherapy for varicose veins report of a case.
A case of acute pulmonary embolism following high ligation and compression sclerotherapy for varicose veins is reported. A 54-year-old women developed superficial varicosities and stasis pigmentation on her left leg 1 year prior to her first visit to hospital. No deep vein thrombosis was detected by ascending phlebography performed 3 months prior to operation. High ligation combined with compression sclerotherapy was performed for the varicose veins. One day after treatment, the patient complained of chest pain and discomfort, and then collapsed. Perfusion scintigraphy revealed multiple embolisms in the bilateral lungs. The patient recovered after aggressive anticoagulant and thrombolytic therapy. Although pulmonary embolism is a rare complication of sclerotherapy, it is potentially one of the most serious.
Department of Plastic and Reconstructive Surgery, Tokyo Women's Medical University, Tokyo, Japan.
T
T
Yamaki
M
M
Nozaki
K
K
Sasaki
D000208:Acute Disease; D000925:Anticoagulants / Q000627:therapeutic use; D005260:Female; D006493:Heparin / Q000627:therapeutic use; D006801:Humans; D007866:Leg / Q000098:blood supply*; D008026:Ligation; D008875:Middle Aged; D011655:Pulmonary Embolism / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000209:etiology*; D011877:Radionuclide Imaging; D012501:Saphenous Vein / Q000601:surgery; D015911:Sclerotherapy / Q000009:adverse effects*; D014568:Urokinase-Type Plasminogen Activator / Q000627:therapeutic use; D014648:Varicose Veins / Q000473:pathology / Q000628:therapy*; D020246:Venous Thrombosis / Q000188:drug therapy / Q000209:etiology*
D000925:Anticoagulants; D006493:Heparin; D014568:Urokinase-Type Plasminogen Activator