A Case of Thromboembolism and Deep Venous Thrombosis after Transfemoral Amputation with Short Stump
- VernacularTitle:大腿切断後の短断端に生じた深部静脈血栓症による急性肺血栓塞栓症の1例
- Author:
Risa TOYAMA
1
;
Masayuki TAZAWA
2
;
Hironori ARII
3
;
Yumiko NAKAO
2
;
Yoko IBE
2
;
Minori KUROSAKI
2
;
Naoki WADA
1
Author Information
- Keywords: lower limb amputation; deep venous thrombosis; pulmonary thromboembolism
- From:The Japanese Journal of Rehabilitation Medicine 2023;():22014-
- CountryJapan
- Language:Japanese
- Abstract: An 82-year-old patient underwent a left transfemoral amputation due to a malignant soft tissue tumor. He developed symptoms of chest pain and hypoxia on the 32nd day after the operation. These symptoms were caused by deep venous thrombosis (DVT) of the stump and acute pulmonary thromboembolism (PTE), for which he was treated with anticoagulant therapy. Shortly after treatment he could resume a rehabilitation therapy. Patients with a lower extremity amputation have a higher risk of developing a DVT because of immobility and increased venous pooling in the residual limb. Even with a short stump as in this case, it is important to actively train the range of motion of the joint and try to prevent DVT.
