A Case of Thromboembolism and Deep Venous Thrombosis after Transfemoral Amputation with Short Stump

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  • Toyama Risa
    Department of Rehabilitation, Fujioka General Hospital
  • Tazawa Masayuki
    Division of Rehabilitation Medicine, Gunma University Hospital Department of Rehabilitation Medicine, Gunma University Graduate School of Medicine
  • Arii Hironori
    Division of Rehabilitation Medicine, Gunma University Hospital
  • Nakao Yumiko
    Division of Rehabilitation Medicine, Gunma University Hospital
  • Ibe Yoko
    Division of Rehabilitation Medicine, Gunma University Hospital
  • Kurosaki Minori
    Department of Rehabilitation, Fujioka General Hospital
  • Wada Naoki
    Division of Rehabilitation Medicine, Gunma University Hospital Department of Rehabilitation Medicine, Gunma University Graduate School of Medicine

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Other Title
  • 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
  • ダイタイ セツダン ゴ ノ タンダンタン ニ ショウジタ シンブ ジョウミャク ケッセンショウ ニ ヨル キュウセイ ハイ ケッセン ソクセンショウ ノ 1レイ

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Abstract

<p>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.</p>

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