Korean J Obstet Gynecol.  2002 Nov;45(11):2053-2056.

A Case of Pulmonary Embolism and Deep Vein Thrombosis in Leg after Total Abdominal Hystrectomy of Huge Uterine Myoma complicated with Abscess

• Lee DH
• Won SY
• Jung WY
• Bae YK
• Koh MW
• Lee TH

Abstract

Pulmonary thromboembolism (PTE) is a serious postoperative complication. Prompt diagnosis of PTE is important but it is difficult because clinical manifestations of PTE are not obvious in most cases. If a patient had tachypnea, cold sweating and hypoxemia in postoperative period, PTE must be thought to be one of possible causes of tachypnea. We have experienced one case of PTE after operation. A 40 year-old woman underwent total hystrectomy and partial omentectomy due to huge, bizarre shaped and inflammatory myoma presenting as an abdominal mass with abscess pocket accompanied by severe and adhesion. At the 5 th postoperative day tachypnea and hypoxemia were developed suddenly. PTE was confirmed with lung perfusion scan and leg edema with deep vein thrombosis occurred later. Proper cardiopulmonary support and anticoagulant therapy were done and the patient was recovered and discharged in improved condition.

Keyword

Pulmonary thromboembolism; Deep vein thrombosis; Huge uterine myoma; Abscess

MeSH Terms

Abscess*
Adult
Anoxia
Diagnosis
Edema
Female
Humans
Leg*
Leiomyoma*
Lung
Myoma
Perfusion
Postoperative Complications
Postoperative Period
Pulmonary Embolism*
Sweat
Sweating
Tachypnea
Venous Thrombosis*