Acute Pulmonary Embolism Following Laparoscopic Ovariectomy: A Case Report
Laparoscopic surgery is usually considered to be less invasive when compared to traditional laparotomy, and is regarded as a relatively low-risk procedure for postoperative complications because of the reduced surgical stress and earlier mobilization. However, we describe a 47-year-old woman who pre...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2006-09-01
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| Series: | Kaohsiung Journal of Medical Sciences |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1607551X09703377 |
| _version_ | 1818929945570705408 |
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| author | Chih-Sheng Chu Kun-Tai Lee Kai-Hung Cheng Pao-Hwuei Hwang Wen-Chol Voon Sheng-Hsiung Sheu Wen-Ter Lai |
| author_facet | Chih-Sheng Chu Kun-Tai Lee Kai-Hung Cheng Pao-Hwuei Hwang Wen-Chol Voon Sheng-Hsiung Sheu Wen-Ter Lai |
| author_sort | Chih-Sheng Chu |
| collection | DOAJ |
| description | Laparoscopic surgery is usually considered to be less invasive when compared to traditional laparotomy, and is regarded as a relatively low-risk procedure for postoperative complications because of the reduced surgical stress and earlier mobilization. However, we describe a 47-year-old woman who presented with acute respiratory distress, drowsy consciousness, and circulatory collapse shortly after gynecologic laparoscopic ovariectomy for removing an ovarian teratoma at a local hospital. After resuscitation, the patient was transferred to our emergency department. Immediate bedside electrocardiographic and echocardiographic examination results led to acute pulmonary embolism being quickly diagnosed. The patient received subsequent intensive care with smooth course. Although pulmonary embolism is rare after laparoscopic surgery, early detection and quick treatment are important in the management of this life-threatening complication and offer good prognosis. The risk of pulmonary embolism after gynecologic laparoscopic surgery remains unclear. Therefore, the decision to provide prophylaxis is up to the individual physician, and should take into consideration the patient's individual risk factors and comorbidities. |
| first_indexed | 2024-12-20T03:52:52Z |
| format | Article |
| id | doaj.art-a04ebea968d542248b7c0339e9c67f9d |
| institution | Directory Open Access Journal |
| issn | 1607-551X |
| language | English |
| last_indexed | 2024-12-20T03:52:52Z |
| publishDate | 2006-09-01 |
| publisher | Wiley |
| record_format | Article |
| series | Kaohsiung Journal of Medical Sciences |
| spelling | doaj.art-a04ebea968d542248b7c0339e9c67f9d2022-12-21T19:54:25ZengWileyKaohsiung Journal of Medical Sciences1607-551X2006-09-0122945245610.1016/S1607-551X(09)70337-7Acute Pulmonary Embolism Following Laparoscopic Ovariectomy: A Case ReportChih-Sheng Chu0Kun-Tai Lee1Kai-Hung Cheng2Pao-Hwuei Hwang3Wen-Chol Voon4Sheng-Hsiung Sheu5Wen-Ter Lai6Division of Cardiology, Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung, TaiwanDivision of Cardiology, Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung, TaiwanDivision of Cardiology, Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung, TaiwanDivision of Gynecology, Gia-Hsien Hospital, Kaohsiung, TaiwanDivision of Cardiology, Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung, TaiwanDivision of Cardiology, Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung, TaiwanDivision of Cardiology, Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung, TaiwanLaparoscopic surgery is usually considered to be less invasive when compared to traditional laparotomy, and is regarded as a relatively low-risk procedure for postoperative complications because of the reduced surgical stress and earlier mobilization. However, we describe a 47-year-old woman who presented with acute respiratory distress, drowsy consciousness, and circulatory collapse shortly after gynecologic laparoscopic ovariectomy for removing an ovarian teratoma at a local hospital. After resuscitation, the patient was transferred to our emergency department. Immediate bedside electrocardiographic and echocardiographic examination results led to acute pulmonary embolism being quickly diagnosed. The patient received subsequent intensive care with smooth course. Although pulmonary embolism is rare after laparoscopic surgery, early detection and quick treatment are important in the management of this life-threatening complication and offer good prognosis. The risk of pulmonary embolism after gynecologic laparoscopic surgery remains unclear. Therefore, the decision to provide prophylaxis is up to the individual physician, and should take into consideration the patient's individual risk factors and comorbidities.http://www.sciencedirect.com/science/article/pii/S1607551X09703377complicationlaparoscopic surgerypulmonary embolism |
| spellingShingle | Chih-Sheng Chu Kun-Tai Lee Kai-Hung Cheng Pao-Hwuei Hwang Wen-Chol Voon Sheng-Hsiung Sheu Wen-Ter Lai Acute Pulmonary Embolism Following Laparoscopic Ovariectomy: A Case Report Kaohsiung Journal of Medical Sciences complication laparoscopic surgery pulmonary embolism |
| title | Acute Pulmonary Embolism Following Laparoscopic Ovariectomy: A Case Report |
| title_full | Acute Pulmonary Embolism Following Laparoscopic Ovariectomy: A Case Report |
| title_fullStr | Acute Pulmonary Embolism Following Laparoscopic Ovariectomy: A Case Report |
| title_full_unstemmed | Acute Pulmonary Embolism Following Laparoscopic Ovariectomy: A Case Report |
| title_short | Acute Pulmonary Embolism Following Laparoscopic Ovariectomy: A Case Report |
| title_sort | acute pulmonary embolism following laparoscopic ovariectomy a case report |
| topic | complication laparoscopic surgery pulmonary embolism |
| url | http://www.sciencedirect.com/science/article/pii/S1607551X09703377 |
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