尿失禁根治術後に発症した多発性の奇異性脳塞栓症の１部検例

DOI

書誌事項

タイトル別名
  • An autopsy case of multiple paradoxical embolism after urological surgery.

抄録

We report an autopsy case of multiple paradoxical embolism after urological surgery. A 50 year-old woman who had a history of varicose veins of the leg lost consciousness and suffered dyspnea following bed rest for 20 hours after surgery. She was admitted to our hospital with coma, respiratory failure and hemiparesis on the left side. A pulmonary perfusion scan revealed multiple perfusion defects in the bilateral peripheral lung fields although a transthoracic echocardiogram lacked evidence of right atrium overload or intraluminal thrombus. A head CT scan on day 3 demonstrated large low density areas in the bilateral middle cerebral artery territories. She died on day 7 due to uncal herniation. An autopsy study disclosed a patent foramen ovale in the artial septum, large thrombus in the inferior vena cava, left pulmonary infarct, and massive and multiple brain infarct. This is a significant case of multiple paradoxical embolism following urological surgery confirmed by autopsy.

収録刊行物

  • 脳卒中

    脳卒中 21 (3), 318-322, 1999

    一般社団法人 日本脳卒中学会

キーワード

詳細情報 詳細情報について

  • CRID
    1390001204640224128
  • NII論文ID
    130003439064
  • DOI
    10.3995/jstroke.21.318
  • ISSN
    18831923
    09120726
  • 本文言語コード
    ja
  • データソース種別
    • JaLC
    • Crossref
    • CiNii Articles
  • 抄録ライセンスフラグ
    使用不可

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