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  1. 学術雑誌論文
  2. 琉球医学会
  3. 琉球医学会誌
  4. 39巻1-4号
  1. 部局別インデックス
  2. その他

周術期抗凝固療法を行い腹腔鏡下卵巣嚢腫核出術4日後に大量出血をきたした卵巣成熟奇形腫の1例 : 周術期抗凝固療法のリスクを再考する

http://hdl.handle.net/20.500.12000/0002016925
http://hdl.handle.net/20.500.12000/0002016925
b8180c3a-b5b9-4367-9bb5-f5e4ec240de1
名前 / ファイル ライセンス アクション
Vol39p59.pdf Vol39p59.pdf
Item type デフォルトアイテムタイプ(フル)(1)
公開日 2021-11-19
タイトル
タイトル 周術期抗凝固療法を行い腹腔鏡下卵巣嚢腫核出術4日後に大量出血をきたした卵巣成熟奇形腫の1例 : 周術期抗凝固療法のリスクを再考する
言語 ja
作成者 大石, 杉子

× 大石, 杉子

ja 大石, 杉子

銘苅, 桂子

× 銘苅, 桂子

ja 銘苅, 桂子

仲村, 理恵

× 仲村, 理恵

ja 仲村, 理恵

宮城, 真帆

× 宮城, 真帆

ja 宮城, 真帆

赤嶺, こずえ

× 赤嶺, こずえ

ja 赤嶺, こずえ

青木, 陽一

× 青木, 陽一

ja 青木, 陽一

Oishi, Sugiko

× Oishi, Sugiko

en Oishi, Sugiko

Mekaru, Keiko

× Mekaru, Keiko

en Mekaru, Keiko

Nakamura, Rie

× Nakamura, Rie

en Nakamura, Rie

Miyagi, Maho

× Miyagi, Maho

en Miyagi, Maho

Akamine, Kozue

× Akamine, Kozue

en Akamine, Kozue

Aoki, Yoichi

× Aoki, Yoichi

en Aoki, Yoichi

アクセス権
アクセス権 open access
アクセス権URI http://purl.org/coar/access_right/c_abf2
権利情報
言語 ja
権利情報 琉球医学会
主題
言語 en
主題Scheme Other
主題 anticoagulant therapy
言語 en
主題Scheme Other
主題 laparoscopic cystectomy
言語 en
主題Scheme Other
主題 hemostasis
内容記述
内容記述タイプ Other
内容記述 Laparoscopic ovarian cystectomy usually does not require ovarian suturing. However,in patients receiving anticoagulant therapy after a surgical procedure,there is a risk of increased bleeding when perioperative bridging of anticoagulation therapy with heparin is performed. This case report discusses the risk of bleeding with anticoagulation therapy. A 38-year-old,nulliparous female underwent laparoscopic ovarian cystectomy for mature cystic teratoma in the left ovary. Because she was administered warfarin for paroxysmal atrial fibrillation before,anticoagulation bridging with heparin was prescribed after hospitalization and 1 week before the surgery. We performed laparoscopic cystectomy with bipolar coagulation. Absence of bleeding from the surgical site was confirmed,and the patient had stable vital signs; therefore,we restarted anticoagulation bridging with heparin 6 hours after the surgery and warfarin approximately 27 hours after the surgery. Severe abdominal pain and hypotension were suddenly observed 4 days after the procedure; computed tomography revealed arterial bleeding from the left ovary,and laparoscopic hemostasis was performed immediately. Arterial bleeding was observed around the left proper ovarian ligament,and the internal abdominal hemorrhage volume was 2,060 ml. We obtained hemostasis by suturing the ovary. After the second surgery,warfarin was discontinued,and the patient was discharged 6 days later. Because 4 days after surgery is too late for bleeding to occur due to surgery,it was considered that the bleeding occurred due to compounded effect of warfarin and heparin . However,it is important to perform elaborate hemostasis by not only inducing coagulation but also including suturing the ovary. Moreover,careful follow-up is required in patients who undergo laparoscopic ovarian cystectomy and receive anticoagulant therapy.
内容記述タイプ Other
内容記述 論文
出版者
言語 ja
出版者 琉球医学会
言語
言語 jpn
資源タイプ
資源タイプ journal article
資源タイプ識別子 http://purl.org/coar/resource_type/c_6501
出版タイプ
出版タイプ VoR
出版タイプResource http://purl.org/coar/version/c_970fb48d4fbd8a85
収録物識別子
収録物識別子タイプ ISSN
収録物識別子 1346-888X
収録物識別子タイプ NCID
収録物識別子 AN10369445
収録物名
言語 ja
収録物名 琉球医学会誌 = Ryukyu Medical Journal
書誌情報
巻 39, 号 1-4, p. 59-64
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