title: [Oral contraceptives use increases venous thromboembolic risk even for minor surgical procedure - a case report].
abstract: A case of a 25-year-old woman with life-threatening pulmonary embolism, which occurred on fourth day after appendectomy and was safely treated with alteplase infusion. Before surgery, oral contraceptive use history, as a sole venous thromboembolic risk factor has been missed and the patient did not receive perioperative, pharmacologic antithrombotic prophylaxis. Further screening for thrombophilia was negative. This case proves that contraceptives use may create, irrespectively of the woman age, a possibility of perioperative thromboembolic complications, even for such minor procedure as appendectomy.
authors.affiliation: Oddział Chorób Wewnetrznych, Szpital Miejski ZOZ, Poznań - Nowe Miasto. welikowski@wp.pl
authors.forename: Waldemar
authors.initials: W
authors.lastname: Elikowski
authors.forename: Małgorzata
authors.initials: M
authors.lastname: Małek
authors.forename: Ewelina
authors.initials: E
authors.lastname: Wojtasińska
authors.forename: Małgorzata
authors.initials: M
authors.lastname: Duszyńska
authors.forename: Stanisław
authors.initials: S
authors.lastname: Kawczyński
authors.forename: Krystyna
authors.initials: K
authors.lastname: Zawilska
mesh_terms: D000328:Adult; D001062:Appendectomy; D003278:Contraceptives, Oral, Hormonal / Q000009:adverse effects*; D005260:Female; D005343:Fibrinolytic Agents / Q000008:administration & dosage; D006801:Humans; D007261:Infusions, Intra-Arterial; D016896:Treatment Outcome; D054556:Venous Thromboembolism / Q000139:chemically induced* / Q000188:drug therapy; D020246:Venous Thrombosis / Q000139:chemically induced* / Q000188:drug therapy
chemical_list: D003278:Contraceptives, Oral, Hormonal; D005343:Fibrinolytic Agents