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Unusual association of diseases/symptoms
CASE REPORT
Common iliac artery thrombosis as a possible complication of the pluck technique in nephroureterectomy
  1. Ryo Nakayama,
  2. Akiyoshi Katagiri,
  3. Takashi Ando,
  4. Takaki Mizusawa
  1. Department of Urology, Niigata Prefectural Central Hospital, Joetsu, Japan
  1. Correspondence to Dr Ryo Nakayama, lets_play_sports_with_me_6127{at}yahoo.co.jp

Summary

Common iliac artery (CIA) thrombosis is a rare surgical complication which may cause serious leg damage and may occasionally be fatal. We experienced two cases of CIA thrombosis in nephroureterectomy with the pluck technique for upper tract urothelial carcinoma. Patients were treated using emergent femoro–femoral bypass, and one patient was treated with fasciotomy of the lower extremity for compartment syndrome. CIA thrombosis is considered a possible complication of nephroureterectomy, particularly with the pluck technique in open surgery. Arterial thrombosis in intrapelvic surgery including nephroureterectomy should be carefully considered for patients at risk.

  • urological surgery
  • urological cancer

https://doi.org/10.1136/bcr-2018-224943

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    Footnotes

    • Contributors RN: designed the study and wrote the initial draft of the manuscript. AK: assisted in the preparation of the manuscript and has explained and administered the form in our patients consent. TM, TA: have contributed to data collection and interpretation and critically reviewed the manuscript. All authors approved the final version of the manuscript and agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.