Late onset of pulmonary embolism caused by lymphocyst following pelvic lymphadenectomy.
Herein is reported a case of late-onset pulmonary embolism following pelvic surgery, despite prophylactic measures in the perioperative period. Twenty-six days after hysterectomy and pelvic lymphadenectomy for endometrial carcinoma, an 83-year-old woman developed a pulmonary embolism. This was caused by pelvic lymphocyst, which, in turn, led to chronic compression of the right external iliac vein. This case strongly suggests that prolonged postoperative thromboembolic prophylaxis should be considered in elderly patients undergoing lymphocyst following pelvic surgery.
Tsuji
Yoriko
Y
Department of Obstetrics and Gynecology, Nara Medical University, Kashihara, Nara, Japan. y-tsuji@naramed-u.ac.jp
Kawaguchi
Ryuji
R
Haruta
Shoji
S
Shigetomi
Hiroshi
H
Ueda
Sachiyo
S
Kanayama
Seiji
S
Yoshida
Shozo
S
Sakata
Mariko
M
Sado
Toshiyuki
T
Yamada
Yoshihiko
Y
Kitanaka
Koji
K
Kobayashi
Hiroshi
H
D000230:Adenocarcinoma / Q000601:surgery; D000369:Aged, 80 and over; D016889:Endometrial Neoplasms / Q000601:surgery; D005260:Female; D006801:Humans; D008197:Lymph Node Excision; D008210:Lymphocele / Q000209:etiology* / Q000628:therapy; D011183:Postoperative Complications; D011655:Pulmonary Embolism / Q000209:etiology* / Q000628:therapy; D016306:Vena Cava Filters