Cargando…
Pulmonary thromboembolism after distal ulna and radius fractures surgery: A case report and a literature review
BACKGROUND: Pulmonary thromboembolism (PTE) is a serious postoperative complication that can occur after a fracture. Generally, PTE is caused by the falling off of lower extremity deep vein thrombosis (LEDVT) after lower limb fracture surgery. LEDVT and PTE after upper extremity fracture surgery are...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Baishideng Publishing Group Inc
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7809660/ https://www.ncbi.nlm.nih.gov/pubmed/33511185 http://dx.doi.org/10.12998/wjcc.v9.i1.197 |
_version_ | 1783637161768124416 |
---|---|
author | Lv, Bo Xue, Feng Shen, Yu-Chun Hu, Fang-Bao Pan, Ming-Mang |
author_facet | Lv, Bo Xue, Feng Shen, Yu-Chun Hu, Fang-Bao Pan, Ming-Mang |
author_sort | Lv, Bo |
collection | PubMed |
description | BACKGROUND: Pulmonary thromboembolism (PTE) is a serious postoperative complication that can occur after a fracture. Generally, PTE is caused by the falling off of lower extremity deep vein thrombosis (LEDVT) after lower limb fracture surgery. LEDVT and PTE after upper extremity fracture surgery are very rare. PTE is one of the most common clinical causes of sudden death. Venous thromboembolism includes PTE and DVT. We experienced one case of LEDVT and PTE after distal ulna and radius fracture surgery. The purpose of our report is to raise awareness for orthopedic surgeons that PTE can occur after distal ulna and radius fracture surgery, and patients with high risk factors should be considered for prevention and treatment of thrombosis in a timely manner. CASE SUMMARY: We report a 51-year-old Chinese male who had severe fractures of the left distal ulna, radius and little finger after a motorcycle accident. The patient underwent external fixation, open reduction and internal fixation. On the third post-operative day, computed tomographic pulmonary angiography showed PTE. Doppler ultrasonography showed thrombus formation in the bilateral posterior tibial veins. After a period of anticoagulation therapy, on the 25(th) d after the PTE, computed tomographic pulmonary angiography showed that thrombus in both sides of the pulmonary artery disappeared. Furthermore, about 4 mo after the PTE, thrombosis in the deep veins of the lower limbs disappeared. About 1 year after the surgery, X-rays showed good fracture healing, and the function of the wrist joint recovered well. CONCLUSION: Though rare, PTE can occur after distal ulna and radius fracture surgery and patients with high risk factors should be considered for prevention and treatment of thrombosis in a timely manner. |
format | Online Article Text |
id | pubmed-7809660 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Baishideng Publishing Group Inc |
record_format | MEDLINE/PubMed |
spelling | pubmed-78096602021-01-27 Pulmonary thromboembolism after distal ulna and radius fractures surgery: A case report and a literature review Lv, Bo Xue, Feng Shen, Yu-Chun Hu, Fang-Bao Pan, Ming-Mang World J Clin Cases Case Report BACKGROUND: Pulmonary thromboembolism (PTE) is a serious postoperative complication that can occur after a fracture. Generally, PTE is caused by the falling off of lower extremity deep vein thrombosis (LEDVT) after lower limb fracture surgery. LEDVT and PTE after upper extremity fracture surgery are very rare. PTE is one of the most common clinical causes of sudden death. Venous thromboembolism includes PTE and DVT. We experienced one case of LEDVT and PTE after distal ulna and radius fracture surgery. The purpose of our report is to raise awareness for orthopedic surgeons that PTE can occur after distal ulna and radius fracture surgery, and patients with high risk factors should be considered for prevention and treatment of thrombosis in a timely manner. CASE SUMMARY: We report a 51-year-old Chinese male who had severe fractures of the left distal ulna, radius and little finger after a motorcycle accident. The patient underwent external fixation, open reduction and internal fixation. On the third post-operative day, computed tomographic pulmonary angiography showed PTE. Doppler ultrasonography showed thrombus formation in the bilateral posterior tibial veins. After a period of anticoagulation therapy, on the 25(th) d after the PTE, computed tomographic pulmonary angiography showed that thrombus in both sides of the pulmonary artery disappeared. Furthermore, about 4 mo after the PTE, thrombosis in the deep veins of the lower limbs disappeared. About 1 year after the surgery, X-rays showed good fracture healing, and the function of the wrist joint recovered well. CONCLUSION: Though rare, PTE can occur after distal ulna and radius fracture surgery and patients with high risk factors should be considered for prevention and treatment of thrombosis in a timely manner. Baishideng Publishing Group Inc 2021-01-06 2021-01-06 /pmc/articles/PMC7809660/ /pubmed/33511185 http://dx.doi.org/10.12998/wjcc.v9.i1.197 Text en ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved. http://creativecommons.org/licenses/by-nc/4.0/ This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. |
spellingShingle | Case Report Lv, Bo Xue, Feng Shen, Yu-Chun Hu, Fang-Bao Pan, Ming-Mang Pulmonary thromboembolism after distal ulna and radius fractures surgery: A case report and a literature review |
title | Pulmonary thromboembolism after distal ulna and radius fractures surgery: A case report and a literature review |
title_full | Pulmonary thromboembolism after distal ulna and radius fractures surgery: A case report and a literature review |
title_fullStr | Pulmonary thromboembolism after distal ulna and radius fractures surgery: A case report and a literature review |
title_full_unstemmed | Pulmonary thromboembolism after distal ulna and radius fractures surgery: A case report and a literature review |
title_short | Pulmonary thromboembolism after distal ulna and radius fractures surgery: A case report and a literature review |
title_sort | pulmonary thromboembolism after distal ulna and radius fractures surgery: a case report and a literature review |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7809660/ https://www.ncbi.nlm.nih.gov/pubmed/33511185 http://dx.doi.org/10.12998/wjcc.v9.i1.197 |
work_keys_str_mv | AT lvbo pulmonarythromboembolismafterdistalulnaandradiusfracturessurgeryacasereportandaliteraturereview AT xuefeng pulmonarythromboembolismafterdistalulnaandradiusfracturessurgeryacasereportandaliteraturereview AT shenyuchun pulmonarythromboembolismafterdistalulnaandradiusfracturessurgeryacasereportandaliteraturereview AT hufangbao pulmonarythromboembolismafterdistalulnaandradiusfracturessurgeryacasereportandaliteraturereview AT panmingmang pulmonarythromboembolismafterdistalulnaandradiusfracturessurgeryacasereportandaliteraturereview |