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Management of venous thromboembolism as a complication after Total laparoscopic hysterectomy with bilateral salpingectomy: A case report

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Case Report

Author Details : Anjani Dixit*

Volume : 10, Issue : 4, Year : 2023

Article Page : 505-507

https://doi.org/10.18231/j.ijogr.2023.096

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Abstract

Total laparoscopic hysterectomy (TLH) is a common procedure in gynecology, often performed to treat various gynecologic conditions. This case report presents a patient who underwent TLH with bilateral salpingectomy and subsequently developed a pulmonary embolism (PE) postoperatively. The patient, a 49-year-old woman with a history of adenomyosis and abnormal uterine bleeding (AUB) associated with endometrial hyperplasia – AUB-M, developed difficulty breathing and chest pain two days after surgery. Diagnostic tests revealed acute PE affecting both main pulmonary arteries. The patient received prompt medical treatment in the intensive care unit (ICU), including anticoagulation therapy, diuretics, oxygen support, and antibiotics. Her condition gradually improved, and she was discharged on oral anticoagulation medication after five days. The case highlights the importance of considering venous thromboembolism (VTE) as a potential complication, even in low-risk patients, and the need for further research to identify additional risk factors and improve preoperative care to prevent such life-threatening complications.
 

Keywords: Total laparoscopic hysterectomy, Bilateral salpingectomy, Venous thromboembolism, Endometrial hyperplasia.

How to cite : Dixit A, Management of venous thromboembolism as a complication after Total laparoscopic hysterectomy with bilateral salpingectomy: A case report. Indian J Obstet Gynecol Res 2023;10(4):505-507

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