岡山医学会雑誌
Online ISSN : 1882-4528
Print ISSN : 0030-1558
早期診断し得た食道癌術後静脈血栓塞栓症の2例
金澤 卓渡辺 信之猶本 良夫小林 正彦白川 靖博山辻 知樹小林 直哉藤原 俊義松原 長秀岩垣 博巳松岡 順治田中 紀章
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2006 年 118 巻 1 号 p. 41-45

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We encountered two cases of pulmonary embolism (PE)/venous thrombs (DVT) after surgery for esophageal cancer. The first case was a 58-year-old male. He underwent a subtotal esophagectomy and reconstruction using the stomach via the subcutaneus route. His postoperative course was stable; however, 13 days after the operation, he had an elevated fever and pulmonary thrombi were observed on CT-scan screening.Scintigraphy confirmed the thrombi. An inferior vena cava filter (IVCF) was inserted and anti-coagulation therapy using heparin was started. His fever subsided, and 35 days after the operation, the thrombi disappeared. He was discharged thereafter and is being followed up using warfarin. The second case was a 74-year-old male. He also underwent subtotal esophagectomy and reconstruction using the stomach via the subcutaneus route. A central line was inserted via right femoral vein; however, the artery was injured and pressurization to the vessel was needed. His post-operative course was stable and symptom-free; however, ultrasound screening detected DVT in his right femoral vein. IVCF was mserted and anti-coagulation therapy was begun, thrombi disappeared 8 days after the therapy.

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