Acute Aortic Thrombosis Following Anterior Resection - A Rare Complication

INTRODUCTION : Anterior resection is a commonly performed surgery for rectal cancer worldwide. It is associated with a wide spectrum of complications which include haemorrhage, pelvic sepsis, wound infection, anastomotic breakdown, deep vein thrombosis, peripheral nerves injury, impotence and urolog...

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Autores principales: Muhamad Izwan Ismail, Hoong Yin Chong, Wan Khamizar Wan Khazim
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Publicado: Shiraz University of Medical Sciences 2020
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spelling oai:doaj.org-article:7ec949ae686a4c08b971fcba5022eb322021-11-14T08:12:12ZAcute Aortic Thrombosis Following Anterior Resection - A Rare Complication2783-243010.30476/acrr.2020.46754https://doaj.org/article/7ec949ae686a4c08b971fcba5022eb322020-06-01T00:00:00Zhttps://colorectalresearch.sums.ac.ir/article_46754_1682a29feecb39765ebb9f315f3b248d.pdfhttps://doaj.org/toc/2783-2430INTRODUCTION : Anterior resection is a commonly performed surgery for rectal cancer worldwide. It is associated with a wide spectrum of complications which include haemorrhage, pelvic sepsis, wound infection, anastomotic breakdown, deep vein thrombosis, peripheral nerves injury, impotence and urological dysfunction. However acute aortic thrombosis post anterior resection is a very rare complication. CASE PRESENTATION : We report a rare case of aortic thrombosis in a 67 year old gentleman following anterior resection for rectal cancer. DISCUSSION : We also discuss its possible causes as there are many postulations to the cause of this devastating complication. Prolonged surgery, abnormal blood coagulation in cancer patient, lithotomy position and the presence of peripheral vascular disease are predisposing factors contributing to this rare acute aortic thrombosis in our patient. A standard routine neurovascular examination of the extremities should be done in the postoperative period to help detect early any neurovascular complication. The use of prophylactic anticoagulant such as fondaparinux, low molecular weight heparin or low dose unfractionated heparin are strongly recommended in high risk surgery patients undergoing a major surgery which helps prevent thromboembolic episode following surgery.Muhamad Izwan IsmailHoong Yin ChongWan Khamizar Wan KhazimShiraz University of Medical Sciencesarticleanterior resectionaortic thrombosisrectal cancersurgical managementMedicineRENIranian Journal of Colorectal Research, Vol 8, Iss 2, Pp 101-103 (2020)
institution DOAJ
collection DOAJ
language EN
topic anterior resection
aortic thrombosis
rectal cancer
surgical management
Medicine
R
spellingShingle anterior resection
aortic thrombosis
rectal cancer
surgical management
Medicine
R
Muhamad Izwan Ismail
Hoong Yin Chong
Wan Khamizar Wan Khazim
Acute Aortic Thrombosis Following Anterior Resection - A Rare Complication
description INTRODUCTION : Anterior resection is a commonly performed surgery for rectal cancer worldwide. It is associated with a wide spectrum of complications which include haemorrhage, pelvic sepsis, wound infection, anastomotic breakdown, deep vein thrombosis, peripheral nerves injury, impotence and urological dysfunction. However acute aortic thrombosis post anterior resection is a very rare complication. CASE PRESENTATION : We report a rare case of aortic thrombosis in a 67 year old gentleman following anterior resection for rectal cancer. DISCUSSION : We also discuss its possible causes as there are many postulations to the cause of this devastating complication. Prolonged surgery, abnormal blood coagulation in cancer patient, lithotomy position and the presence of peripheral vascular disease are predisposing factors contributing to this rare acute aortic thrombosis in our patient. A standard routine neurovascular examination of the extremities should be done in the postoperative period to help detect early any neurovascular complication. The use of prophylactic anticoagulant such as fondaparinux, low molecular weight heparin or low dose unfractionated heparin are strongly recommended in high risk surgery patients undergoing a major surgery which helps prevent thromboembolic episode following surgery.
format article
author Muhamad Izwan Ismail
Hoong Yin Chong
Wan Khamizar Wan Khazim
author_facet Muhamad Izwan Ismail
Hoong Yin Chong
Wan Khamizar Wan Khazim
author_sort Muhamad Izwan Ismail
title Acute Aortic Thrombosis Following Anterior Resection - A Rare Complication
title_short Acute Aortic Thrombosis Following Anterior Resection - A Rare Complication
title_full Acute Aortic Thrombosis Following Anterior Resection - A Rare Complication
title_fullStr Acute Aortic Thrombosis Following Anterior Resection - A Rare Complication
title_full_unstemmed Acute Aortic Thrombosis Following Anterior Resection - A Rare Complication
title_sort acute aortic thrombosis following anterior resection - a rare complication
publisher Shiraz University of Medical Sciences
publishDate 2020
url https://doaj.org/article/7ec949ae686a4c08b971fcba5022eb32
work_keys_str_mv AT muhamadizwanismail acuteaorticthrombosisfollowinganteriorresectionararecomplication
AT hoongyinchong acuteaorticthrombosisfollowinganteriorresectionararecomplication
AT wankhamizarwankhazim acuteaorticthrombosisfollowinganteriorresectionararecomplication
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