Pulmonary Embolism following Pelvic Lymphadenectomy for Staging Prostatic Carcinoma.
- Author:
Yun Ha PAK
1
;
Jong Byung YOON
;
Young Woo SIN
Author Information
1. Department of Urology, College of Medicine, Pusan National University, Pusan, Korea.
- Publication Type:Original Article
- Keywords:
prostatic cancer;
pulmonary embolism
- MeSH:
Aged;
Anesthesia, General;
Biopsy;
Chest Pain;
Diagnosis;
Diaphragm;
Dyspnea;
Dysuria;
Electrocardiography;
Humans;
Lung;
Lymph Node Excision*;
Perfusion;
Postoperative Complications;
Prostatic Neoplasms;
Pulmonary Embolism*;
Shock;
Tachycardia, Sinus;
Thorax;
Tomography, X-Ray Computed;
Whole Body Imaging
- From:Korean Journal of Urology
1989;30(1):109-112
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
We reported a case of postoperative pulmonary embolism associated with pelvic lymphadenectomy for staging prostatic carcinoma. A 66-year-old man was admitted to our hospital complaining of dysuria. Transperineal prostatic biopsy under transrectal ultrasonographic guidance revealed evidence of malignancy. Abdominal CT and whole body scan demonstrated no abnormal findings. Staging pelvic lymphadenectomy was performed safely under general anesthesia. On the 6th postoperative day, the patient had sudden dyspnea and chest pain. EKG showed sinus tachycardia. Chest A-P showed some elevation of left diaphragm. Pulmonary perfusion scan revealed multiple cold area throughout both lung fields. A diagnosis of pulmonary embolism was made. Shock treatment and anticoagulant therapy were successfully performed. This case suggests that attention should be directed to pulmonary embolism as one of the postoperative complication of staging pelvic lymphadenectomy.
