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
| dc.contributor.author | Bourget-Murray, Jonathan | |
| dc.contributor.author | Clarke, Mathew A | |
| dc.contributor.author | Gorzitza, Sydney | |
| dc.contributor.author | Phillips, Lisa A | |
| dc.date.accessioned | 2018-11-07T17:04:10Z | |
| dc.date.available | 2018-11-07T17:04:10Z | |
| dc.date.issued | 2018-07-06 | |
| dc.date.updated | 2018-11-07T17:04:10Z | |
| dc.description.abstract | Abstract 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. | |
| dc.identifier.citation | Journal of Medical Case Reports. 2018 Jul 06;12(1):194 | |
| dc.identifier.doi | https://doi.org/10.1186/s13256-018-1726-8 | |
| dc.identifier.uri | http://hdl.handle.net/1880/109018 | |
| dc.identifier.uri | https://doi.org/10.11575/PRISM/45641 | |
| dc.language.rfc3066 | en | |
| dc.rights.holder | The Author(s). | |
| dc.title | 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 | |
| dc.type | Journal Article |