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Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Deep venous thrombosis after office vasectomy: a case report. | Cooke and Zazove Journal of Medical Case Reports 2010 4 242 http www.jmedicalcasereports.eom content 4 1 242 jAc JOURNALOF medical ÌỤr case REPORTS CASE REPORT Open Access Deep venous thrombosis after office vasectomy a case report David A Cooke1 Philip Zazove2 Abstract Introduction Postoperative pulmonary embolism is considered a complication of major surgery. However thromboembolism can also occur following minor procedures. We report a case of a major embolic event following a straightforward office vasectomy. Case presentation A healthy 35-year-old Asian man underwent an uncomplicated office vasectomy. Soon after he noticed vague chest pain and dyspnea. Lower extremity Doppler ultrasound revealed acute venous thrombosis. A computer-assisted tomography angiogram revealed extensive bilateral pulmonary emboli. Extensive laboratory work-up failed to identify thrombophilia. He has not had any recurrences in the eight years since the initial presentation. Conclusion This case highlights that major embolic events can follow minor office procedures. Patients with suggestive findings should be investigated aggressively. Introduction Pulmonary embolism is a well-known complication of major surgery but it is not always appreciated that it can occur even after minor interventions. Thromboembolism has been reported after outpatient surgeries of many types. However there are very few reports of thromboembolism associated with an office vasectomy. We believe that although the incidence of this complication is low it does occur and physicians should be aware of this if a patient presents with symptoms suggestive of an embolic event. Case presentation A 35-year-old Asian man without a significant medical history presented to our health center for elective outpatient vasectomy. The procedure was performed bilaterally using the no-scalpel approach in an office setting over 30 minutes without any apparent incident or complication and he was discharged. He returned home and .
