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Korean Journal of Obstetrics & Gynecology 2002;45(11):2053-2056.
Published online November 1, 2002.
A Case of Pulmonary Embolism and Deep Vein Thrombosis in Leg after Total Abdominal Hystrectomy of Huge Uterine Myoma complicated with Abscess.
Dong Hyeok Lee, Seok Yong Won, Woo Yeon Jung, Yeon Kyoung Bae, Min Whan Koh, Tae Hyung Lee
Department of Obstetrics and Gynecology, Yeungnam University School of Medicine, Daegu, Korea.
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.
Key Words: Pulmonary thromboembolism, Deep vein thrombosis, Huge uterine myoma, Abscess


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