title: Late onset of pulmonary embolism caused by lymphocyst following pelvic lymphadenectomy.
abstract: 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.
authors.affiliation: Department of Obstetrics and Gynecology, Nara Medical University, Kashihara, Nara, Japan. y-tsuji@naramed-u.ac.jp
authors.forename: Yoriko
authors.initials: Y
authors.lastname: Tsuji
authors.forename: Ryuji
authors.initials: R
authors.lastname: Kawaguchi
authors.forename: Shoji
authors.initials: S
authors.lastname: Haruta
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Shigetomi
authors.forename: Sachiyo
authors.initials: S
authors.lastname: Ueda
authors.forename: Seiji
authors.initials: S
authors.lastname: Kanayama
authors.forename: Shozo
authors.initials: S
authors.lastname: Yoshida
authors.forename: Mariko
authors.initials: M
authors.lastname: Sakata
authors.forename: Toshiyuki
authors.initials: T
authors.lastname: Sado
authors.forename: Yoshihiko
authors.initials: Y
authors.lastname: Yamada
authors.forename: Koji
authors.initials: K
authors.lastname: Kitanaka
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Kobayashi
mesh_terms: 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