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Case Report: Dual embolism of the pulmonary and renal arteries after laparoscopy
Zhengguang Yang1,2,3, Yang Li1,2,3, Xiao Wang1,3
1Department of Radiology, China Resources & WISCO General Hospital, Wuhan University of Science and Technology, Wuhan, China.
Background:
Concurrent pulmonary and renal artery embolism following laparoscopic surgery is exceedingly rare, yet it may result in severe clinical consequences.
Case Presentation:
A 78-year-old woman with uterine prolapse underwent laparoscopic-assisted vaginal hysterectomy (LAVH). Shortly after surgery, she developed dyspnea and abdominal discomfort. Computed tomography angiography (CTA) confirmed acute pulmonary embolism accompanied by renal artery embolism. Following a multidisciplinary team (MDT) consultation, she received percutaneous pulmonary artery thrombectomy (PPAT) combined with anticoagulation therapy. Consequently, her symptoms improved markedly, with follow-up imaging demonstrating satisfactory restoration of blood flow in both the pulmonary and renal arteries.
Conclusion:
This case represents a rare occurrence of concurrent pulmonary embolism and renal artery embolism following laparoscopic surgery. Effective postoperative venous thromboembolism (VTE) prophylaxis and appropriate follow-up strategies are essential for preventing similar events. Timely diagnosis and MDT management are crucial for optimizing clinical outcomes in such complex cases.
