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[Inferior vena cava thrombosis after laparoscopy].
D Cadosch1, M J Scheyerer, C Binkert
1Klinik für Unfallchirurgie, UniversitätsSpital Zürich. dieter.cadosch@usz.ch
Even minor laparoscopic surgery can lead to late inferior vena cava (IVC) thrombosis. Prompt diagnosis and treatment, including anticoagulation and thrombolysis, are crucial for managing this complication.
Area of Science:
- Gynecology
- Vascular Surgery
- Hematology
Background:
- A 43-year-old woman presented with lower abdominal pain.
- Ultrasound revealed an ovarian cyst, leading to exploratory laparoscopy.
Observation:
- Post-laparoscopy, the patient developed bilateral leg swelling, suggesting inferior vena cava (IVC) thrombosis.
- Factor V Leiden mutation was identified.
- CT confirmed complete IVC occlusion.
Findings:
- Treatment involved thrombolysis, thrombus aspiration, IVC filter placement, and anticoagulation.
- Doppler ultrasound showed significant thrombus resolution.
Implications:
- Laparoscopic procedures, even minor ones, carry a risk of late IVC thrombosis.
- Highlights the importance of thromboprophylaxis and vigilant monitoring post-surgery.
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