期刊
AMERICAN JOURNAL OF FORENSIC MEDICINE AND PATHOLOGY
卷 37, 期 3, 页码 198-200出版社
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/PAF.0000000000000245
关键词
laparoscopic cholecystectomy; pulmonary thromboembolism; risk factors; thromboprophylaxis
Cases of sudden death due to pulmonary thromboembolism (PTE) following laparoscopic surgery are very rare. The risk factors for PTE include sex, operation duration, age, obesity, and underlying diseases. The development of thromboprophylaxis according to specific risk factors has contributed to the decrease in postoperative mortality. Here, we describe the case of a 50-year-old patient with sudden death due to PTE at 24 hours after laparoscopic cholecystectomy. The origin of the thrombi were bilateral deep vein thromboses in both the lower extremities. No severe risk factors for PTE were detected in the patient, and pneumatic compression devices were used during the surgery for thromboprophylaxis. We believe that the accumulation of minor risk factors may have contributed to the onset of PTE. Hence, a more cautious assessment of the risk factors for PTE prior to surgery is required in such cases.
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