Acute pulmonary thromboembolism after distal gastrectomy: an appraisal of the guidelines for preventing pulmonary thromboembolism/deep vein thrombosis.
We report a case of acute pulmonary thromboembolism after gastrectomy. A 67-year-old woman was found to have gastric cancer and a giant lipoma in the ascending colon. We performed distal gastrectomy and enucleation of the ascending colon lipoma. On postoperative day 9, an acute pulmonary thromboembolism developed, and thrombolytic therapy was urgently performed. The 2004 Japanese guidelines for preventing pulmonary thromboembolism/deep vein thrombosis are discussed in relation to the present case.
Matsunobu
Tetsuro
T
Surgery for Organ Function and Biological Regulation, Graduate School of Medicine, Nippon Medical School, Japan. nobu@nms.ac.jp
Watanabe
Masanori
M
Bou
Hideki
H
Takahashi
Naoto
N
Tokunaga
Akira
A
Tajiri
Takashi
T
D000208:Acute Disease; D000368:Aged; D003110:Colonic Neoplasms / Q000601:surgery*; D005260:Female; D005343:Fibrinolytic Agents / Q000008:administration & dosage; D005743:Gastrectomy; D006493:Heparin / Q000008:administration & dosage; D006801:Humans; D008067:Lipoma / Q000601:surgery; D009378:Neoplasms, Multiple Primary / Q000601:surgery; D011183:Postoperative Complications / Q000517:prevention & control* / Q000628:therapy; D017410:Practice Guidelines as Topic; D011655:Pulmonary Embolism / Q000517:prevention & control* / Q000628:therapy; D013274:Stomach Neoplasms / Q000601:surgery*; D015912:Thrombolytic Therapy; D010959:Tissue Plasminogen Activator / Q000008:administration & dosage; D016896:Treatment Outcome
D005343:Fibrinolytic Agents; D006493:Heparin; D010959:Tissue Plasminogen Activator