Scopus
🔓 Açık Erişim YÖKSİS Eşleşti
Thrombosis of the abdominal aorta of a patient with tubal carcinoma undergoing Cytoreductive surgery under general anesthesia
Turk Anesteziyoloji ve Reanimasyon Dernegi Dergisi · Aralık 2012
YÖKSİS Kayıtları
Thrombosis Of The Abdominal Aorta Of A Patient With Tubal Carcinoma Undergoing Cytoreductive Surgery Under General Anesthesia
Türkiye Klinikleri Anesteziyoloji Reanimasyon Dergisi · 2012 Index Copernicus,Türkiye Atıf Dizini,Türkiye Klinikleri Tıp Veri Tabanı
PROFESÖR İBRAHİM ÖZKAN ÖNAL →
Makale Bilgileri
DergiTurk Anesteziyoloji ve Reanimasyon Dernegi Dergisi
Yayın TarihiAralık 2012
Cilt / Sayfa40 · 284-286
Scopus ID2-s2.0-84886238997
Erişim🔓 Açık Erişim
Özet
A 74 year old patient, weighing 94 kg, with abdominal distention was admitted to hospital. Her upper and lower abdominal tomography was normal and ultrasonography could not be evaluated optimally because of massive ascites. She had undergone tumor debulking surgery (total abdominal hysterectomy, bilateral salphingo-oophorectomy, total omentectomy, appendectomy, pelvic and paraaortic lymph node dissection) under general anesthesia with prophylaxis for deep vein thrombosis. Pathologic examination revealed tubal carcinoma. At the end of the five hour long operation, the patient was admitted to the ICU for postoperative care. Within hours, progressive coldness and cyanosis bilaterally in the lower extremities were noted in her physical examination. Pulses distal to the femoral arteries were not palpable. Motor and sensory deficits were also present in both of the lower legs in her neurological examination. In her angiography, the aorta was atherosclerotic and a large thrombus, occluding the abdominal aorta, 3 cm distal to renal arteries, was revealed. The patient was taken for emergency embolectomy and treatment for hyperkalemia was also begun. After embolectomy, emergency hemodialysis was planned. However, the patient arrested in ICU and did not respond to cardiopulmonary resuscitation. Aortic thrombosis is a very rare and fatal complication after gyneco-oncologic surgery. Preoperative evaluation and assessment of risk factors should be done carefully and without losing time, since treatment options are very limited in such patients.
Yazarlar (6)
1
Ebru Salman
2
Ozkan Onal
ORCID: 0000-0002-5574-1901
3
Banu Yurekli
4
Erdal Şimşek
5
Fahri Yetisir
6
Süheyla Ünver
Anahtar Kelimeler
Abdominal aorta
Gynecologic surgery
Malignancy
Thrombosis
Kurumlar
Bozyaka Research and Training Hospital
Izmir Turkey
Etlik Training and Research Hospital
Ankara Turkey