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- W2787666032 abstract "CASE 1 Acute arterial occlusion in the lower extremities of patients with gynecologic cancers may not be immediately recognized in the M.D., a 63-year-old black female with Type 1 diabetes postoperative period, despite the known risk of hypercoagulability mellitus, was diagnosed with grade 2 endometrial carcinoma associated with malignancy. Such delays in recognition and treat- by endometrial biopsy. She was not using estrogen replacement can result in irreversible but potentially preventable tissue ment and had no history of thromboembolic events. She also injury. This report describes three cases of acute arterial occlusion had no arrhythmias or other cardiac problems, but did have of the femoral and/or external iliac arteries in the immediate post- hypertension controlled by thiazide diuretics. She underwent operative period following radical pelvic surgery. Two patients an abdominal hysterectomy, bilateral salpingooophoreclost the involved limb due to irreversible changes resulting from tomy, and pelvic and periaortic lymph node sampling. There prolonged ischemia. One patient was diagnosed while the involved were no intraoperative complications. The patient used selimb was still viable and surgical revascularization was successfully quential compression stockings intra- and postoperatively. performed. These cases illustrate the potential morbidity in unrecognized acute limb ischemia and the ease with which it may be Final pathology demonstrated a moderately differentiated overlooked. Systematic documentation of arterial patency is rec- endometrial adenocarcinoma with invasion of the inner third ommended in the postoperative period, noting peripheral pulses of the myometrium. Margins, lymph nodes, and peritoneal and patient complaints related to the lower extremities. Rapid washings were free of disease. diagnosis and surgical intervention significantly increase the Postoperatively the patient experienced progressive weakchance of maintaining viability of the involved limb. q 1996 Academic ness and decreased motor function of her right lower extremPress, Inc." @default.
- W2787666032 created "2018-02-23" @default.
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- W2787666032 date "1996-01-01" @default.
- W2787666032 modified "2023-09-23" @default.
- W2787666032 title "CASE REPORT Femoral Artery Occlusion Following Pelvic Cancer Surgery" @default.
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- W2787666032 hasPublicationYear "1996" @default.
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