Acute iliac arterial thrombosis during laparoscopic abdominoperineal resection.
Journal
Journal of surgical case reports
ISSN: 2042-8812
Titre abrégé: J Surg Case Rep
Pays: England
ID NLM: 101560169
Informations de publication
Date de publication:
Feb 2019
Feb 2019
Historique:
received:
15
11
2018
revised:
14
01
2019
accepted:
16
01
2019
entrez:
12
2
2019
pubmed:
12
2
2019
medline:
12
2
2019
Statut:
epublish
Résumé
Acute iliac arterial thrombosis during surgery is very rare complication. There were few reports on this complication relative to gastroenterological surgery, and the risk has not been recognized. A 70-year-old man, diagnosed with a rectal cancer (adenocarcinoma of rectum) with known history heavy cigarette smoking with no known history of peripheral vascular disease underwent a laparoscopic abdominoperineal resection. He presented severe pain in the left leg in the recovery room. A computed tomography (CT) scan revealed the complete obstruction of the left common iliac artery. A successful revasculization was achieved through a thrombotectomy and percutaneous transluminal angioplasty with a stent immediately after the diagnosis. The pain in the left leg disappeared immediately after the revasculization. An acute arterial thrombosis is a potential complication of the laparoscopic colorectal surgery with the lithotomy position.
Sections du résumé
BACKGROUND
BACKGROUND
Acute iliac arterial thrombosis during surgery is very rare complication. There were few reports on this complication relative to gastroenterological surgery, and the risk has not been recognized.
CASE PRESENTATION
METHODS
A 70-year-old man, diagnosed with a rectal cancer (adenocarcinoma of rectum) with known history heavy cigarette smoking with no known history of peripheral vascular disease underwent a laparoscopic abdominoperineal resection. He presented severe pain in the left leg in the recovery room. A computed tomography (CT) scan revealed the complete obstruction of the left common iliac artery. A successful revasculization was achieved through a thrombotectomy and percutaneous transluminal angioplasty with a stent immediately after the diagnosis. The pain in the left leg disappeared immediately after the revasculization.
CONCLUSION
CONCLUSIONS
An acute arterial thrombosis is a potential complication of the laparoscopic colorectal surgery with the lithotomy position.
Identifiants
pubmed: 30740210
doi: 10.1093/jscr/rjz020
pii: rjz020
pmc: PMC6362890
doi:
Types de publication
Case Reports
Langues
eng
Pagination
rjz020Références
Dis Colon Rectum. 1999 Jul;42(7):916-9; discussion 919-20
pubmed: 10411439
Anesthesiology. 2000 Nov;93(5):1353-4
pubmed: 11046227
Dis Colon Rectum. 2002 Jun;45(6):829-32
pubmed: 12072638
Circulation. 2006 Mar 21;113(11):e463-654
pubmed: 16549646
Obstet Gynecol. 2008 Aug;112(2 Pt 2):486-8
pubmed: 18669774
J Minim Invasive Gynecol. 2009 Jan-Feb;16(1):102-5
pubmed: 19110192
N Engl J Med. 2012 Jun 7;366(23):2198-206
pubmed: 22670905
Obstet Gynecol Sci. 2017 Mar;60(2):223-226
pubmed: 28344966
J Urol. 1994 Apr;151(4):866-8
pubmed: 8126812
Gynecol Oncol. 1996 Oct;63(1):151-3
pubmed: 8898187