Title Alternative Two cases of acute pulmonary embolism after esophageal cancer operation
FullText URL 118_41.pdf
Author Kanazawa, Takashi| Watababe, Nobuyuki| Naomoto, Yoshio| Kobayashi, Masahiko| Shirakawa, Yasuhiro| Yamatsuji, Tomoki| Kobayashi, Naoya| Fujiwara, Tohsiyoshi| Matsubara, Nagahide| Iwagaki, Hiromi| Matsuoka, Junji| Tanaka, Noriaki|
Abstract We encountered two cases of pulmonary embolism (PE)/venous thrombs (DVT) after surgery for esophageal cancer. The first case was a 58-year-old male. He underwent a subtotal esophagectomy and reconstruction using the stomach via the subcutaneus route. His postoperative course was stable; however, 13 days after the operation、 he had an elevated fever and pulmonary thrombi were observed on CT-scan screening. Scintigraphy confirmed the thrombi. An inferior vena cava filter (IVCF) was inserted and anti-coagulation therapy using heparin was started. His fever subsided, and 35 days after the operation, the thrombi disappeared. He was discharged thereafter and is being followed up using warfarin. The second case was a 74-year-old male. He also underwent subtotal esophagectomy and reconstruction using the stomach via the subcutaneus route. A central line was inserted via right femoral vein; however, the artery was injured and pressurization to the vessel was needed. His post-operative course was stable and symptom-free; however, ultrasound screening detected DVT in his right femoral vein. IVCF was mserted and anti-coagulation therapy was begun, thrombi disappeared 8 days after the therapy.
Keywords 食道癌 (esophageal cancer) 肺塞栓症 (pulmonary embolism) 深部静脈血栓症 (deep venous thrombs)
Publication Title 岡山医学会雑誌
Published Date 2006-05-01
Volume volume118
Issue issue1
Start Page 41
End Page 45
ISSN 0030-1558
language 日本語
Copyright Holders Copyright© 岡山医学会
File Version publisher
DOI 10.4044/joma1947.118.1_41
NAID 10017417131