Gómez J R, Vañó J, Luengo L, Escuder J, Castellote M, Ros S, Diaz J, Martin-Paredero V
University of Rovira y Virgili, Department of Surgery, Joan XXIII Hospital, Tarragona, Spain.
Ann Vasc Surg. 1995 Mar;9(2):199-203. doi: 10.1007/BF02139664.
We report a case of tumor embolism of the lower right extremity after right pneumonectomy. This is an infrequent complication and in most cases occurs during the intraoperative or immediate postoperative period. Our patient underwent surgery for primary pulmonary neoplasia (squamous cell carcinoma) and 4 hours later showed clinical signs of acute arterial occlusion in the lower right extremity. An emergency embolectomy was performed and a thrombus with tumor characteristics was extracted from the right common femoral artery. The pathologic features of this thrombus were identical to those of the pulmonary tumor.
我们报告一例右肺切除术后右下肢体肿瘤栓塞的病例。这是一种罕见的并发症，大多数情况下发生在术中或术后即刻。我们的患者因原发性肺肿瘤（鳞状细胞癌）接受手术，4小时后出现右下肢体急性动脉闭塞的临床症状。进行了急诊栓子切除术，从右股总动脉中取出了具有肿瘤特征的血栓。该血栓的病理特征与肺部肿瘤相同。
