Symptomatic bilateral pulmonary embolism without deep venous thrombosis in an adolescent following arthroscopic anterior cruciate ligament reconstruction: A case report and review of the literature

被引：4
作者：
Bourget-Murray J. [1 ,3 ]
Clarke M.A. [2 ]
Gorzitza S. [4 ]
Phillips L.A. [1 ,3 ,4 ]
机构：
[1] Cumming School of Medicine, University of Calgary, Calgary, AB
[2] College of Medicine, University of Saskatchewan, Saskatoon, SK
[3] Department of Surgery, Section of Orthopedic Surgery, University of Calgary, Calgary, AB
[4] Department of Surgery, Division of Pediatric Orthopedic Surgery, Alberta Children's Hospital, 2888 Shaganappi Trail NW, Calgary, T3B 6A8, AB
来源：
Journal of Medical Case Reports | / 12卷 / 1期
关键词：
Anterior cruciate ligament reconstruction; Deep venous thrombosis (DVT); Knee arthroscopy; Pulmonary embolism (PE); Thromboprophylaxis;
D O I：
10.1186/s13256-018-1726-8
中图分类号：
学科分类号：
摘要：
Background: Venous thromboembolism, specifically pulmonary embolism, is a rare complication following elective pediatric orthopedic surgery. Bilateral pulmonary embolism with associated pulmonary hemorrhage/infarct without concomitant deep vein thrombosis has never been reported following routine anterior cruciate ligament reconstruction in an adolescent. Case presentation: A 16-year-old white girl presented with acute onset shortness of breath and pleuritic chest pain 6 days following elective anterior cruciate ligament reconstruction. After performing a thorough work-up, she was diagnosed as having provoked bilateral pulmonary embolism with associated pulmonary hemorrhage without concomitant deep vein thrombosis. She was treated successfully with 3 months of anticoagulation therapy with daily Lovenox (enoxaparin) injections. Conclusions: Symptomatic bilateral pulmonary embolism may have a good prognosis if it is diagnosed early and treated appropriately. It is important to appreciate the risk of provoked thromboembolic events in healthy adolescents undergoing arthroscopic knee surgery. © 2018 The Author(s).
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