A case of deep vein thrombosis, pulmonary embolism and nonocclusive mesenteric ischemia after removal of recurrent craniopharyngioma

Abstract

We experienced a case of deep vein thrombosis (DVT), pulmonary embolism (PE), and nonocclusive mesenteric ischemia (NOMI) after the removal of recurrent craniopharyngioma. A 58-year-old man, who had received surgery for craniopharyngioma 2 times, was admitted to our hospital because of bitemporal hemianopsia and recent memory disturbance. CT and MRI showed the recurrence of craniopharyngioma. After surgical removal of the tumor, the patient showed polyuria and dehydration caused by cerebral salt wasting syndrome and/or diabetes insipidus. Because of uncontrollable dehydration, the patient suffered from DVT/PE and NOMI. The patient recovered completely with early diagnosis and appropriate treatment. The mortality rates of DVT/PE and NOMI increase when diagnosis and treatment are delayed. We should take care for the patients with dehydration, which is one of the risk factors of DVT and NOMI.