Publication Date
1-1-2024
Journal
Orthopedic Reviews
DOI
10.52965/001c.122538
PMID
39219733
PMCID
PMC11364536
PubMedCentral® Posted Date
8-29-2024
PubMedCentral® Full Text Version
Post-print
Published Open-Access
yes
Keywords
massive transfusion, thrombosis, trauma, multidisciplinary
Abstract
A 53-year-old male with a history of multiple deep venous thromboses (DVTs) underwent a right open radical nephrectomy with inferior vena cava (IVC) thrombectomy in the context of renal cell carcinoma (RCC)-associated venous thrombosis. Imaging and renal biopsy revealed a diagnosis of RCC with non-occlusive thrombosis of the left renal vein and occlusive thrombosis of the infrarenal IVC. The major risks of concern for the procedure included thrombus embolization from surgical manipulation and massive bleeding. Intraoperatively, the patient experienced significant hemorrhage requiring massive transfusion protocol. The purpose of this case report is to emphasize the importance of multidisciplinary involvement, intraoperative thrombus monitoring, and principles of massive transfusion in the management of similar cases.
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