A rare incidence of acute pulmonary embolism following surgical fixation of bilateral upper extremity fractures - A case report

Q4 Medicine Trauma Case Reports Pub Date : 2025-02-01 Epub Date: 2025-01-04 DOI:10.1016/j.tcr.2025.101133
Mohamed Zackariya , Sanjana Nandakumar , Dheenadhayalan Jayaramaraju , Devendra Agraharam , Rajasekaran Shanmuganathan
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Abstract

Case

A 52-year-old male fell from his bike and sustained fractures of the right proximal humerus and the left distal radius, both of which were fixed in a single sitting a day after the injury. On postoperative day four, the patient developed features suggestive of acute pulmonary embolism.

Conclusion

Reports of acute pulmonary embolism developing after surgical fixation of bilateral upper extremity fractures are rare. A high index of suspicion especially in patients with predisposing risk factors is essential to identify the signs of a thromboembolic event and initiate appropriate intervention.

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双侧上肢骨折手术固定后发生急性肺栓塞的罕见病例报告。
病例:一名52岁男性从自行车上摔下,右侧肱骨近端和左侧桡骨远端持续骨折,伤后一天单次固定。术后第四天,患者出现提示急性肺栓塞的特征。结论:双侧上肢骨折手术固定后发生急性肺栓塞的报道是罕见的。高度的怀疑指数,特别是在具有易感危险因素的患者中,对于识别血栓栓塞事件的迹象并开始适当的干预是必不可少的。
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来源期刊
Trauma Case Reports
Trauma Case Reports Medicine-Emergency Medicine
CiteScore
0.60
自引率
0.00%
发文量
131
审稿时长
26 weeks
期刊介绍: Trauma Case Reports is the only open access, online journal dedicated to the publication of case reports in all aspects of trauma care and accident surgery. Case reports on all aspects of trauma management, surgical procedures for all tissues, resuscitation, anaesthesia and trauma and tissue healing will be considered for publication by the international editorial team and will be subject to peer review. Bringing together these cases from an international authorship will shed light on surgical problems and help in their effective resolution.
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