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Kyobu geka. The Japanese journal of thoracic surgery 2013-Feb

[Renal infarction and acute arterial obstruction of the lower extremity encountered after surgery for primary lung cancer].

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Masafumi Tamaki
Kazumasa Miura
Shoko Norimura
Koichirou Kenzaki
Kiyoshi Yosizawa

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The patient was 68-year-old who underwent left upper lobectomy and lymph node dissection. On the 4th postoperative day, he developed vomiting and lumbar pain. On 5th postoperative day, he complained of pain, sensory paralysis and cold sensation of the right lower extremity. Computed tomography(CT)examination revealed left renal infarction and acute arterial obstruction of the right common iliac artery. Emergency thrombectomy of the right lower extremity was performed. Postoperatively, he received anticoagulant therapy and was able to leave the hospital on the 20th postoperative day. Attention should be paid to the infarction of abdominal organs when developing abdominal symptoms after lung cancer surgery in elderly patients.

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