Paradoxical Peripheral Embolism – a Rare and Underestimated Event

Abstract

We describe a patient with a giant ovarian cyst causing a complete occlusion of the distal abdominal aorta. An 86 year old patient presented with acute ischemia for her lower limbs three days after a transurethral resection of a bladder tumor (TURT). She never wanted treatment for her giant ovarian cyst. Sintrommitis â was ceased 3 days preoperatively, no bridging anticoagulation therapy was instigated. A CT angiogram showed a thrombotic occlusion of the distal aorta. We believe this to have been caused by pressure from the giant ovarian cyst. The patient died 2 days later. This case illustrates that awareness is warranted for vascular complications in patients with a giant intraabdominal cyst or tumor undergoing abdominal or pelvic surgery.