title: [A case of acute pulmonary thromboembolism after retroperitoneoscopic nephrectomy : a case report].
abstract: A 65-year old woman underwent retroperitoneoscopic nephrectomy, for left renal mass which was suspected to be renal cell carcinoma. On the 2nd postoperation day, she suddenly complained of dyspnea and chest pain. Enhanced computed tomography revealed a defect of peripheral pulmonary artery, and ventilation-perfusion lung scanning showed large defect of the uptake in bilateral lung fields. Based on the arterial blood gas and imagings, she was diagnosed with a PTE (pulmonary thromboembolism). Thrombolytic therapy and anti-coagulant therapy were started. Thereafter, she recovered from hypoxia. However, these therapies gave rise to postoperative hemorrhage resulting in a massive retroperitoneal hematoma.
authors.affiliation: The Department of Urology, Tane General Hospital.
authors.forename: Masaomi
authors.initials: M
authors.lastname: Kuwada
authors.forename: Yukinari
authors.initials: Y
authors.lastname: Hosokawa
authors.forename: Motokiyo
authors.initials: M
authors.lastname: Yoshikawa
authors.forename: Satoshi
authors.initials: S
authors.lastname: Takada
authors.forename: Hiromi
authors.initials: H
authors.lastname: Kumamoto
authors.forename: Yoshiki
authors.initials: Y
authors.lastname: Hayashi
authors.forename: Nobuo
authors.initials: N
authors.lastname: Oyama
authors.forename: Kiyohide
authors.initials: K
authors.lastname: Fujimoto
authors.forename: Yoshihiko
authors.initials: Y
authors.lastname: Hirao
mesh_terms: D000368:Aged; D004724:Endoscopy / Q000379:methods; D005260:Female; D006801:Humans; D009392:Nephrectomy / Q000379:methods*; D011183:Postoperative Complications; D011655:Pulmonary Embolism / Q000209:etiology*