Case report, Pulmonary embolism, Thromboembolism, Tranexamic acid
Citation Information :
Ardabili SN, Zeinali A, Mishra RK, Chegeni S, Mehrafshar A, Noori N. Pulmonary Thromboembolism While Receiving Tranexamic Acid after Laparotomy Myomectomy: A Case Report. World J Lap Surg 2023; 16 (1):52-53.
Aim: We aimed to review a case with pulmonary thromboembolism while using tranexamic acid after laparotomy myomectomy.
Background: Pulmonary embolism (PE) is life-threatening and early diagnosis and proper treatment are crucial.
Case description: This case was a middle-aged healthy and active woman that referred to our gynecology clinic due to menometrorrhagia and dysmenorrhea. According to an ultrasound report, she had an enlarged myxomatosis uterus. Medical treatment did not work therefore she chose the surgery. During surgery due to massive blood loss, 1 gram of tranexamic acid was infused two packed cells were transfused. After 48 hours of the surgery, the patient complained of shortness of breath. More evaluations showed PE. The patient had no thromboembolism risk factors. It seemed that tranexamic acid caused thrombosis in this patient. After proper treatment measures such as anticoagulant medicines, she was discharged from the hospital.
Clinical significance: Considering the risk of thrombosis in each case as prescribed tranexamic acid.
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