Differential Diagnoses Of Perioperative Bleeding In A High-risk Patient Undergoing Radical Nephrectomy With Ivc Thrombectomy

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Conference Proceeding

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A 73-year-old female with PMHx of right renal mass with thrombus extending to the right atrium on Lovenox presented to the ED with sudden onset of altered mental status. Patient was scheduled for radical nephrectomy with IVC thrombectomy. Preoperative CBC revealed thrombocytopenia, leading to transfusion of cryoprecipitate, FFP, and platelets. During surgery, patient became coagulopathic developing bleeding and hypotension despite high vasopressors and massive transfusion, resulting in expiration in the OR. This case discusses the differential diagnoses of perioperative bleeding that led to poor surgical outcomes.


American Society of Anesthesiology Annual Meeting, New Orleans, LA, October 21-25, 2022.