Volume 82, Issue 8 (November 2024)
Tehran Univ Med J 2024, 82(8): 664-669 |
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Sahraei R, Eftekharian F, Kalani N, Taghizadeh H. Acute pulmonary embolism after hysterectomy surgery: a case report. Tehran Univ Med J 2024; 82 (8) :664-669
URL: http://tumj.tums.ac.ir/article-1-13312-en.html
URL: http://tumj.tums.ac.ir/article-1-13312-en.html
1- Department of Anesthesiology, Faculty of Medicine, Jahrom University of Medical Sciences, Jahrom, Iran.
2- Department of Internal Medicine, Faculty of Medicine, Jahrom University of Medical Sciences, Jahrom, Iran.
3- Department of Anesthesiology, Faculty of Medicine, Jahrom University of Medical Sciences, Jahrom, Iran.| Research Center for Social Determinants of Health, Jahrom University of Medical Sciences, Jahrom, Iran.
4- Department of Obstetrics and Gynecology, Faculty of Medicine, Jahrom University of Medical Sciences, Jahrom, Iran.
2- Department of Internal Medicine, Faculty of Medicine, Jahrom University of Medical Sciences, Jahrom, Iran.
3- Department of Anesthesiology, Faculty of Medicine, Jahrom University of Medical Sciences, Jahrom, Iran.| Research Center for Social Determinants of Health, Jahrom University of Medical Sciences, Jahrom, Iran.
4- Department of Obstetrics and Gynecology, Faculty of Medicine, Jahrom University of Medical Sciences, Jahrom, Iran.
Abstract: (1433 Views)
Background: Pulmonary embolism (PE) occurs when a blood clot blocks a pulmonary artery or its branches. Complications after a hysterectomy can include bleeding, infection, thrombosis, damage to surrounding structures and bowel or bladder problems. This study reports a case of acute pulmonary embolism after hysterectomy surgery.
Case Presenetation: A 52-year-old woman who was a candidate for Total Abdominal Hysterectomy (TAH)+Bilateral Salpingo-Oophorectomy (BSO) due to vaginal bleeding for 3 weeks. During the surgery, the patient's hemodynamics were normal. The surgery lasted about one and a half hours. The patient's bleeding and urine output were normal. At the end of the surgery, the patient was released from muscle relaxation with neostigmine and atropine. The patient woke up and had stable hemodynamics during recovery and was transferred to the women's ward. The next day, the patient started walking in the ward when he suddenly had syncope. The cardiopulmonary resuscitation team immediately arrived at the patient's bedside. Due to the patient's poor breathing, the patient was quickly intubated and resuscitation with cardiac massage and appropriate medications was initiated. A cardiologist and radiologist were consulted urgently and they arrived at the patient's bedside. During cardiopulmonary resuscitation, echocardiography showed a clot in the proximal right and left pulmonary arteries, and an appropriate dose of Reteplase was administered with a diagnosis of extensive pulmonary embolism. Unfortunately, despite the medical team's efforts, the patient died.
Conclusion: Based on the results of the present study, patients who undergo hysterectomy with a history of previous bleeding are at risk of acute pulmonary embolism; therefore, these patients should be closely monitored after surgery and receive appropriate medications after surgery to prevent pulmonary embolism as ordered by the Physians.
Case Presenetation: A 52-year-old woman who was a candidate for Total Abdominal Hysterectomy (TAH)+Bilateral Salpingo-Oophorectomy (BSO) due to vaginal bleeding for 3 weeks. During the surgery, the patient's hemodynamics were normal. The surgery lasted about one and a half hours. The patient's bleeding and urine output were normal. At the end of the surgery, the patient was released from muscle relaxation with neostigmine and atropine. The patient woke up and had stable hemodynamics during recovery and was transferred to the women's ward. The next day, the patient started walking in the ward when he suddenly had syncope. The cardiopulmonary resuscitation team immediately arrived at the patient's bedside. Due to the patient's poor breathing, the patient was quickly intubated and resuscitation with cardiac massage and appropriate medications was initiated. A cardiologist and radiologist were consulted urgently and they arrived at the patient's bedside. During cardiopulmonary resuscitation, echocardiography showed a clot in the proximal right and left pulmonary arteries, and an appropriate dose of Reteplase was administered with a diagnosis of extensive pulmonary embolism. Unfortunately, despite the medical team's efforts, the patient died.
Conclusion: Based on the results of the present study, patients who undergo hysterectomy with a history of previous bleeding are at risk of acute pulmonary embolism; therefore, these patients should be closely monitored after surgery and receive appropriate medications after surgery to prevent pulmonary embolism as ordered by the Physians.
Type of Study: Case Report |
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