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Trombos en la vena pulmonar y tromboembolismo arterial múltiple después de lobectomía superior izquierda: reporte de
Kenji Namiki1, Yukio Umeda, Shinsuke Matsumoto
1Dept. of Thoracic Surgery, Gifu Prefectural General Medical Center.
Gan to kagaku ryoho. Cancer & chemotherapy
|February 26, 2026
Resumen
La lobectomía superior izquierda puede causar complicaciones tromboembólicas inusuales, incluidos síntomas gastrointestinales y fiebre. El reconocimiento temprano de estas presentaciones atípicas es crucial para el diagnóstico y tratamiento oportunos del tromboembolismo postoperatorio.
Área de la Ciencia:
- Medicina Cardiovascular; Cirugía Torácica; Gastroenterología
Sus antecedentes:
- La lobectomía superior izquierda es un procedimiento quirúrgico para el cáncer de pulmón. El tromboembolismo es una complicación posoperatoria conocida. Las presentaciones atípicas pueden retrasar el diagnóstico.
Objetivo del estudio:
- Informar un caso de complicaciones tromboembólicas atípicas después de lobectomía superior izquierda. Destacar la importancia de considerar el tromboembolismo en pacientes posoperatorios con síntomas inusuales. Enfatizar la necesidad de una alta sospecha clínica de eventos tromboembólicos no torácicos.
Principales métodos:
- Reporte de caso de un paciente sometido a lobectomía superior izquierda. Se describen la presentación clínica, el estudio diagnóstico y el tratamiento. Se utilizaron estudios de imagen, incluida la tomografía computarizada (TC) con contraste.
Principales resultados:
- El paciente desarrolló síntomas gastrointestinales y fiebre posoperatorios. La TC reveló trombos en el muñón de la vena pulmonar, la arteria subclavia y la arteria mesentérica superior, con infarto renal. La terapia anticoagulante condujo a una mejora en el tamaño del trombo y el realce renal.
Conclusiones:
- La lobectomía superior izquierda aumenta el riesgo de tromboembolismo. Los síntomas gastrointestinales y la fiebre pueden ser signos atípicos de eventos tromboembólicos. Los médicos deben sospechar complicaciones tromboembólicas incluso con síntomas no torácicos.
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